| NPI | 1881945723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO JAVIER ACEBEY Managing Owner 404-668-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D63675) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MD D63675) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MD D63675) | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2013-12-26 |