| NPI | 1356582597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P BATSON Owner 843-422-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: SC 22310) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: SC 22310) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2011-03-16 |