| NPI | 1801123302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLU MOHAMED JABATI Director/Physician 678-697-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 058527) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-08 |