NPI | 1558428789 |
---|---|
Former Legal Business Name | FAYETTEVILLE PAIN CENTER, PLLC |
Entity Type | Organization |
Authorized Contact | VIREN D. DESAI Physician Owner 910-321-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 200100673) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2017-01-09 |