| NPI | 1548059835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A'MARISSA NEWTON Director Of Rcm 678-971-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |