NPI | 1568121846 |
---|---|
Doing Business As | CENTURION SPINE & PAIN CENTERS |
Entity Type | Organization |
Authorized Contact | ALICIA GROTH Credentialing 904-223-3321 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2021-12-14 |
Last Update Date | 2021-12-14 |