| NPI | 1831486430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON C KIMES Doctor/Director 404-759-9658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: GA 050322) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 050322) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2019-08-08 |