NPI | 1760887996 |
---|---|
Doing Business As | OPTIM PAIN MANAGEMENT-DOUGLAS |
Entity Type | Organization |
Authorized Contact | MICHAEL KLEINPETER CEO 912-644-5300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2014-10-30 |
Last Update Date | 2014-10-30 |