| NPI | 1578744801 |
|---|---|
| Former Legal Business Name | PAIN MANAGEMENT CENTER OF VIRGINIA, PLC |
| Entity Type | Organization |
| Authorized Contact | NANCY GOLDBRANSON Practice Administrator 703-709-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2020-02-06 |