NPI | 1275648420 |
---|---|
Doing Business As | PAIN AND WOUND CARE CENTER |
Entity Type | Organization |
Authorized Contact | ODEANE H CONNOR Physician/Owner 256-546-9558 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AL 00023743) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1089350) |
363L00000X Nurse Practitioner (Licence: AL 1082016) | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2020-08-22 |