| NPI | 1417280918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLU JABATI Medical Director 678-559-4526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: AZ 36200) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |