Organization
VALLEY PAIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMAD SHIKHTHOLTH M.D (PRESIDENT)
(256) 301-9994
Entity
Organization
Contact information
Practice address
2506 DANVILLE RD SW, SUITE 206, DECATUR, AL 35603-4232
(256) 301-9994
(256) 350-8763
Mailing address
2506 DANVILLE RD SW, SUITE 206, DECATUR, AL 35603-4232
(256) 301-9994
(256) 350-8763
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
27458
AL
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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