| NPI | 1801194022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATLEE T WAMPLER Owner 770-392-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-08-03 |