| NPI | 1700287232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAJ K. EUBANKS Authorized Official 404-376-3639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |