| NPI | 1598646648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON LEWIS Medical Billing Manager 804-715-4709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |