Organization
COVENANT PAIN THERAPIES CENTER, INC
Active
Other names
Covenant Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANN GOURD (SOLE MEMBER)
(256) 705-4406
Entity
Organization
Contact information
Practice address
3007 MEMORIAL PKWY SW, HUNTSVILLE, AL 35801-5393
(256) 882-2003
(256) 705-4630
Mailing address
PO BOX 18084, HUNTSVILLE, AL 35804-8084
(256) 882-2003
(256) 705-4630
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
12320
AL
Other
Enumeration date
11/08/2016
Last updated
07/13/2021
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