| NPI | 1992530570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIET EKEIWU Credentialing 404-680-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-10-23 |