| NPI | 1407131899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN ALTMAN Administrator/Director/COO Rdinator 706-821-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |