# SHEDDEN PAIN RELIEF & SPORTS MEDICINE LLC

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

## Provider details

- **NPI number:** 1801121504
- **Authorized official:** MRS. PATRICIA D. SHEDDEN (ADMINISTRATOR)
- **Authorized official phone:** (334) 702-9445

## Contact information

- **Practice address:** 1733 W MAIN ST, SUITE 100, DOTHAN, AL 36301-1330
- **Practice address phone:** (334) 702-9445
- **Practice address fax:** (334) 702-9465
- **Mailing address:** PO BOX 8365, DOTHAN, AL 36304-0365
- **Mailing address phone:** (334) 702-9445
- **Mailing address fax:** (334) 702-9465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | DO118 | AL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | DO118 | AL | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | DO118 | AL | — |

## Other

- **Enumeration date:** 10/14/2009
- **Last updated:** 10/14/2009
