| NPI | 1982313532 |
|---|---|
| Other Name | VERISPINE PAIN CENTERS |
| Entity Type | Organization |
| Authorized Contact | TYE MCCLELLAN Billing/Credentialing COO Rdinator 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 |