| NPI | 1699834697 |
|---|---|
| Doing Business As | MEDIPRACTIC PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | WILLIAM E WILLIS Sec 770-496-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-12-21 |