| NPI | 1609082718 |
|---|---|
| Doing Business As | SOUTHEAST PAIN CARE |
| Entity Type | Organization |
| Authorized Contact | JOSHUA MILLER President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207L00000X Anesthesiology | |
| 207LC0200X Anesthesiology, Critical Care Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-03-03 |