Organization
COMPLEX SOLUTIONS LLC
Active
Other names
ETOWAH PAIN ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LYLE SHEHI (PRESIDENT)
(256) 456-5811
Entity
Organization
Contact information
Practice address
3015 STEELE STATION RD, RAINBOW CITY, AL 35906-8722
(256) 456-5811
(256) 485-0753
Mailing address
PO BOX 1941, GADSDEN, AL 35902-1941
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
PM.163
AL
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-79613
BLUE CROSS AND BLUE SHIELD
AL
Enumeration date
04/08/2014
Last updated
11/16/2016
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