Organization
NORTH ALABAMA REHABILITATION AND PAIN SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK OLUSEGUN AWONIYI M.D. (ORGANIZER)
(256) 604-0671
Entity
Organization
Contact information
Practice address
2046 BELTLINE RD SW, DECATUR, AL 35601-5549
(256) 353-0410
(256) 353-0649
Mailing address
2046 BELTLINE RD SW, DECATUR, AL 35601-5549
(256) 353-0410
(256) 353-0649
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
30296
AL
Other
Enumeration date
10/31/2011
Last updated
11/01/2011
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