| NPI | 1922232719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORTELIO BOSCH Physician 912-233-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 051119) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2016-08-03 |