| NPI | 1477520013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI K SNOOK Ins Billing Mgr 706-731-2628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 033521) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 033521) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2010-01-11 |