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Organization

BIRMINGHAM PAIN CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCY GIBSON (ADMINISTRATOR)
(205) 313-7252
Entity
Organization

Contact information

Practice address
4515 SOUTHLAKE PKWY STE 200, HOOVER, AL 35244-3319
(205) 313-7246
(205) 939-1911
Mailing address
4515 SOUTHLAKE PKWY STE 200, HOOVER, AL 35244-3319
(205) 313-7246
(205) 939-1911

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
2084P0800X
Psychiatry Physician
208VP0000X
Pain Medicine Physician
208VP0014X
Interventional Pain Medicine Physician
Primary
363AM0700X
Medical Physician Assistant
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
01/16/2007
Last updated
10/24/2023
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