| NPI | 1740212174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B FAIRCLOTH President 251-450-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AL 20439) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AL 16395) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2025-09-11 |