| NPI | 1679229520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNE JUSTICE Credentialing Specialist 828-483-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |