| NPI | 1912253725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN B WALKER President 706-660-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-12-07 |