| NPI | 1942250865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA ROMAN Manager Of Operations/Credentialing 404-354-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-09-25 |