NPI | 1629084132 |
---|---|
Entity Type | Organization |
Authorized Contact | E OGBURU-OGBONNAYA MD President CEO 803-788-0038 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: SC 18323) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 18323) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2016-11-07 |