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 |