| NPI | 1952336133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULEMAN SOHANI Practice Administrator 706-279-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-10-08 |