# RIVER REGION PAIN MANAGEMENT, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134568231
- **Authorized official:** BRAD A HOOKS (PRESIDENT)
- **Authorized official phone:** (334) 414-3435

## Contact information

- **Practice address:** 3283 MALCOLM DR, SUITE 105, MONTGOMERY, AL 36116-8816
- **Practice address phone:** (334) 356-9970
- **Practice address fax:** (334) 356-9873
- **Mailing address:** PO BOX 660257, BIRMINGHAM, AL 35266-0257
- **Mailing address phone:** (205) 979-5882
- **Mailing address fax:** (205) 979-1248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 06/21/2013
- **Last updated:** 06/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 150179 | — | AL |