Organization
EASTERN SHORE NEUROLOGY AND PAIN CLINIC
Active
Other names
Eastern Shore Neurology And Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASSAN M TARABEIN M.D. (C.E.O.)
(251) 971-3030
Entity
Organization
Contact information
Practice address
149 W PEACHTREE AVE, FOLEY, AL 36535-2239
(251) 971-3030
(251) 971-3035
Mailing address
149 W PEACHTREE AVE, FOLEY, AL 36535-2239
(251) 971-3030
(251) 971-3035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL18124
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0510010
UNITED HAELTHCARE
AL
01
—
0510348
UNITED HEALTHCARE
AL
01
—
51034929
BLUE CROSS BLUE SHIELD
AL
01
—
51506401
BLUE CROSS BLUE SHIELD
AL
01
—
5940140
AETNA
AL
01
—
J619
MEDICARE GROUP
AL
01
—
P00033163
MEDICARE RAILROAD
AL
Enumeration date
02/07/2006
Last updated
04/20/2008
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