| NPI | 1972828473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY B BENDER Physician 678-297-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 049787) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |