| NPI | 1356840409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETHA MANCHIREDDY Medical Director 678-565-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |