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Organization
SOUTHERN KETAMINE AND WELLNESS, LLC
Active
Organization
SOUTHERN KETAMINE AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HARRISON IRONS MD (MEDICAL DIRECTOR)
(256) 337-1453
Entity
Organization
Contact information
Practice address
1932 LAUREL RD STE 1B, VESTAVIA HILLS, AL 35216-1939
(205) 202-9163
Mailing address
1932 LAUREL RD STE 1B, VESTAVIA HILLS, AL 35216-1939
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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