| NPI | 1932387446 |
|---|---|
| Doing Business As | PAIN - MD |
| Entity Type | Organization |
| Authorized Contact | CARL TYLER SHENKMAN President 912-265-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 036000) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 036000) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |