Organization
SOUTHERN KETAMINE AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HARRISON IRONS MD (MEDICAL DIRECTOR)
(256) 337-1453
Entity
Organization
Contact information
Practice address
1932 LAUREL RD STE 1B, VESTAVIA HILLS, AL 35216-1939
(205) 202-9163
Mailing address
1932 LAUREL RD STE 1B, VESTAVIA HILLS, AL 35216-1939
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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