| 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 |