| NPI | 1336821529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT PATEL Chief Executive Officer 770-962-3642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |