Organization
SOUTHERN PAIN CONTROL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEDHA A PRADHAN MD (PRESIDENT)
(334) 395-6055
Entity
Organization
Contact information
Practice address
7205 COPPERFIELD DR, MONTGOMERY, AL 36117-7101
(334) 396-6055
(334) 273-0952
Mailing address
7205 COPPERFIELD DR, MONTGOMERY, AL 36117-7101
(334) 396-6055
(334) 273-0952
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
21981
AL
Other
Enumeration date
01/10/2007
Last updated
03/14/2013
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