| NPI | 1386213171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA J ROSS Md, Member 912-656-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2023-08-30 |