| NPI | 1639644917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONA HATTER Practice Manager 615-410-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |