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Organization
DPI OF ALABAMA LLC
Active
Organization
DPI OF ALABAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SIKES (CEO)
(225) 923-0030
Entity
Organization
Contact information
Practice address
3310 KELLY CREEK RD, MOODY, AL 35004
(225) 923-0030
(225) 923-0060
Mailing address
PO BOX 14447, BATON ROUGE, LA 70898-4447
(225) 923-0030
(225) 923-0060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/17/2018
Last updated
02/02/2023
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