| NPI | 1558179689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SHANKLIN WEAVER Md 757-455-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2025-02-05 |