| NPI | 1710592399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON KOSTERMAN BRYANT President/Owner 336-575-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-24 |