| 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 |