| NPI | 1528041803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEE GIVOGRE Owner 770-297-0356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 038234) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2024-03-12 |