| NPI | 1366761793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN DALTON-BETHEA President 336-501-3796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2014-12-01 |