| NPI | 1851630610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN CASH Practice Manager 864-583-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: SC 18437) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: SC 293) |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: SC 27788) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2021-03-03 |