| NPI | 1174697106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH G VARLEY President 205-995-9967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: AL 19582) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: AL 491) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-06-12 |