| NPI | 1598651457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE RICHARD CRIDER Owner 706-521-8413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-17 |