Organization
ALABAMA PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA L MCGOUGH (BILLING DIRECTOR)
(256) 705-4405
Entity
Organization
Contact information
Practice address
600 WHITESPORT DRIVE, HUNTSVILLE, AL 35801-6495
(256) 882-2003
(256) 882-7115
Mailing address
600 WHITESPORT DRIVE, HUNTSVILLE, AL 35801
(256) 882-2003
(256) 882-7115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
895
AL
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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