White Mountain Pain Clinic, Pllc

NPI #1972046803 in Birmingham, Alabama

Provider Information

NPI Number
1972046803
Entity Type
Organization
Organization Name
White Mountain Pain Clinic, Pllc
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Nov 25, 2016
Last Updated
Nov 26, 2016

Practice Location

Address
5721 5TH CT S
State
Alabama
ZIP Code
35212-3211
Phone
(205) 567-0832

Authorized Official

Name
JOHN C ALLEN, M.S., D.A.A.E.T.S.
Title
GRANTOR
Phone
(205) 567-0832

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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