| NPI | 1801813712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIDIO MICHAEL NOVEMBRE Practice Owner 336-835-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 207QA0401X Family Medicine Addiction Medicine | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-07-10 |