| NPI | 1821790965 |
|---|---|
| Doing Business As | IREDELL PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | JOANIE M COCHRAN Credentialing Agent 336-306-9755 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-07-20 |