| NPI | 1619716537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELECIA LITTLETON Administrator 678-500-5034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-06-12 |