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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