| NPI | 1790875086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOI FARLOUGH Manager 770-667-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 054759) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2008-06-05 |