NPI | 1871275792 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY BEACHAM Owner 601-918-5567 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
332B00000X Durable Medical Equipment & Medical Supplies | |
207LP2900X Anesthesiology, Pain Medicine | |
Enumeration Date | 2023-08-01 |
Last Update Date | 2023-10-27 |