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Organization
NORTH ALABAMA REHABILITATION AND PAIN SPECIALIST LLC
Active
Organization
NORTH ALABAMA REHABILITATION AND PAIN SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK OLUSEGUN AWONIYI M.D. (ORGANIZER)
(256) 604-0671
Entity
Organization
Contact information
Practice address
2046 BELTLINE RD SW, DECATUR, AL 35601-5549
(256) 353-0410
(256) 353-0649
Mailing address
2046 BELTLINE RD SW, DECATUR, AL 35601-5549
(256) 353-0410
(256) 353-0649
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
30296
AL
Other
Enumeration date
10/31/2011
Last updated
11/01/2011
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