| NPI | 1811098874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY N BUIE Billing Supervisor 601-898-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MS 16318) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-11-06 |