| NPI | 1962773820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY CHARLES BROWNLOW President 770-252-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: GA 000116) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2022-02-15 |