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Organization

CULLMAN PAIN AND WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICKY BRIAN TUBBS DO (OWNER)
(205) 608-8199
Entity
Organization

Contact information

Practice address
1848 PARKLAND DR NE, CULLMAN, AL 35058-6100
(256) 737-4100
Mailing address
1848 PARKLAND DR NE, CULLMAN, AL 35058-6100
(256) 737-4100
(256) 737-4101

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DO1004
STATE LICENSE
AL
Enumeration date
01/12/2021
Last updated
10/09/2025
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