| NPI | 1629785886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED RYAN BROWN CEO 912-358-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207X00000X Orthopaedic Surgery | |
| 2084P0301X Psychiatry & Neurology Brain Injury Medicine | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |