| NPI | 1538804133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSH TRIKAMBHAI DANGARIA Owner 912-324-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |