| NPI | 1336891951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY GOINGS Owner 864-205-6137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |