| NPI | 1477999381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHYKEETRA S MALTBIA Owner 251-447-2953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AL 29376) |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2013-05-18 |