| NPI | 1710414305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON C ROSENBERG Member 843-839-7246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: SC 24751) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2024-03-05 |