Organization
PAIN MANAGEMENT PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI SMITH (CREDENTIALING COORDINATOR)
(334) 279-1450
Entity
Organization
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 279-1450
(334) 395-4110
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 395-4110
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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