| NPI | 1376598268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE RAUCK President 336-765-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 30458) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2021-08-02 |