| NPI | 1639459407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK D. MOSER President 404-419-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 23771) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 23771) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 23771) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 23771) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |