| NPI | 1477839769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK OLUSEGUN AWONIYI Organizer 256-604-0671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AL 30296) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-11-01 |