| NPI | 1528461605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PIRTLE Practice Manager 404-428-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |