| NPI | 1992292973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOODLEY MARDY-DAVIS Medical Directoer 470-299-1998 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 059463) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: GA 059463) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2024-04-19 |