Organization
BIRMINGHAM PAIN CENTER INC.
Active
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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