NPI | 1710165501 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID L. SPIVEY President 336-760-0706 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
Additional Taxonomies | 174400000X Specialist (Licence: NC 30582) |
Enumeration Date | 2008-02-05 |
Last Update Date | 2011-01-04 |