Organization
THE JAW PAIN PRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CARTER (MEMBER)
(502) 553-0009
Entity
Organization
Contact information
Practice address
4137 CARMICHAEL RD STE 320, MONTGOMERY, AL 36106-3614
(334) 865-9872
Mailing address
4137 CARMICHAEL RD STE 320, MONTGOMERY, AL 36106-3614
(334) 865-9872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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