| NPI | 1437407525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE RAYA Office Manager 678-813-2741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2019-08-07 |