| NPI | 1821047069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN N. TAFOR President 478-745-2385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2020-08-18 |