| NPI | 1437459872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH YOUSUFF Shareholder 704-362-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 2002-00833) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 200200833) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 200200833) | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2011-07-22 |