NPI | 1386674760 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGROY HANNIBAL CRISP Physician 336-538-7180 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2006-07-03 |
Last Update Date | 2013-06-05 |