NPI | 1982313532 |
---|---|
Other Name | VERISPINE PAIN CENTERS |
Entity Type | Organization |
Authorized Contact | TYE MCCLELLAN Billing/Credentialing Coordinator 678-786-7181 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
261QP3300X Clinic/Center, Pain | |
Enumeration Date | 2022-11-22 |
Last Update Date | 2024-04-19 |