| NPI | 1811320229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E WINDSOR Md/Owner 770-850-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2014-02-16 |