NPI | 1356630792 |
---|---|
Entity Type | Organization |
Authorized Contact | BILL GENE BERRYMAN Physician 334-214-4616 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AL 26975) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2023-10-23 |