| NPI | 1366076564 |
|---|---|
| Doing Business As | SULLIVAN PAIN MANAGEMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | DARRELL D WATSON Director Revenue Cycle 812-268-4311 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |