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Contact Information

GARDENDALE PAIN AND WELLNESS, LLC
2215 DECATUR HWY STE 101
GARDENDALE, AL35071-2384
 Phone: 205-608-8199
 Fax: 205-608-8195
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for GARDENDALE PAIN AND WELLNESS, LLC

NPI Number 1316459746
LBN Legal business name GARDENDALE PAIN AND WELLNESS, LLC
Authorized official RICKY TUBBS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2017
Last updated 11/12/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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