| NPI | 1457610867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUKDEB DATTA President 615-479-4692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 2590151) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |