NPI | 1437167137 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXIS BASHINSKI SHAEFER Treasurer 706-860-6515 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 035269) |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
207T00000X Neurological Surgery | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 024895) | |
Enumeration Date | 2006-08-04 |
Last Update Date | 2021-07-22 |