| NPI | 1366952848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHEED SIDDIQUI Owner 434-295-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2024-07-02 |