| NPI | 1366745549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL JAY SNYDER Owner 770-487-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 55703) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |