NPI Profile for DOTHAN PAIN CENTER LLC in DOTHAN, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Pain Medicine |
2081P2900X | 25 | Physician/Physical Medicine and Rehabilitation | |
Sports Medicine |
2081S0010X | 25 | Physician/Physical Medicine and Rehabilitation |
| NPI Number | 1851715833 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/11/2014 | |
| Last updated | 02/18/2014 - About 12 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DOTHAN PAIN CENTER LLC
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