| NPI | 1629372768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN CASH Practice Manager 864-583-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2020-01-10 |