| NPI | 1477758597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS DUSSEL PRITCHARD Owner 704-818-0480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NC 18045) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-05-14 |