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Organization
WEST ALABAMA PAIN MANAGEMENT, LLC
Active
Organization
WEST ALABAMA PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMA D PIDIKITI M.D. (PHYSICIAN)
(205) 758-1833
Entity
Organization
Contact information
Practice address
1321 MCFARLAND BLVD E, TUSCALOOSA, AL 35404-3839
(205) 758-1833
(205) 758-8880
Mailing address
1321 MCFARLAND BLVD E, TUSCALOOSA, AL 35404-3839
(205) 758-1833
(205) 758-8880
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MD.13295
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508881335
INDIVIDUAL NPI #
AL
Enumeration date
01/11/2008
Last updated
01/11/2008
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