| NPI | 1730824814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT SURYAKANT PATEL Chief Executive Officer 770-962-3642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-04-04 |