| NPI | 1235671231 |
|---|---|
| Doing Business As | COVENANT PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN GOURD Sole Member 256-705-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL 12320) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2021-07-13 |