| NPI | 1598743981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN GOODSON President 704-664-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NC 97-01373) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2007-09-18 |