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Organization

REHAB AND WELLNESS CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMIA MOIZUDDIN M.D. (PHYSICIAN)
(205) 387-9787
Entity
Organization

Contact information

Practice address
129 STEPHEN J WHITE BLVD, TALLADEGA, AL 35160
(256) 362-7009
(256) 362-0190
Mailing address
1090 HIGHWAY 78 E, JASPER, AL 35501
(205) 387-9787
(205) 544-2909

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary

Other

Enumeration date
06/19/2019
Last updated
06/19/2019
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