| 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 |