Organization
PROVISION 2, LLC
Active
Organization
PROVISION 2, LLC
Active
Other names
Sound Mind TMS Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WAYNE SMITH MD (OWNER)
(256) 339-9979
Entity
Organization
Contact information
Practice address
210 MAIN AVE SW, CULLMAN, AL 35055-3346
(256) 339-9979
Mailing address
340 COUNTY ROAD 1635, CULLMAN, AL 35058
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Enumeration date
08/24/2021
Last updated
01/17/2025
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