| NPI | 1861411738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA B SMOAK Billing Admin 803-779-3263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-10-08 |