| NPI | 1609913318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY T CLAVO CEO 770-632-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: GA 045425) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-07-30 |