| NPI | 1821494725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JUSTIS Doctor 336-990-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 38991) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2016-05-09 |