# VALLEY SPINE AND PAIN LLC

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

## Provider details

- **NPI number:** 1356885362
- **Authorized official:** JOHN HORNBUCKLE (OWNER)
- **Authorized official phone:** (256) 907-2493

## Contact information

- **Practice address:** 2227 DRAKE AVE SW STE 7B, HUNTSVILLE, AL 35805
- **Practice address phone:** (256) 907-2493
- **Practice address fax:** (256) 281-8134
- **Mailing address:** PO BOX 18545, HUNTSVILLE, AL 35804-8545
- **Mailing address phone:** (256) 907-2493
- **Mailing address fax:** (256) 281-8134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 186204 | AL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 31801 | AL | — |

## Other

- **Enumeration date:** 12/09/2016
- **Last updated:** 05/31/2018
