| NPI | 1447529342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PICKENS ANDREW PATTERSON Owner 678-904-5499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 057737) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |