| NPI | 1710038476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY GIBSON Administrator 205-313-7252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 363AM0700X Physician Assistant, Medical | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 103TC0700X Psychologist, Clinical | |
| 207L00000X Anesthesiology | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-10-24 |