| NPI | 1811184575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R TAYLOR Owner 770-421-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 031842) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |