| 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 |