| NPI | 1639270903 |
|---|---|
| Former Legal Business Name | BRUNSWICK PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J. BOVINET Owner 912-262-6552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-08-26 |