Organization
COVENANT PAIN THERAPIES CENTER, INC
Active
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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