Organization
SHEDDEN PAIN RELIEF & SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA D. SHEDDEN (ADMINISTRATOR)
(334) 702-9445
Entity
Organization
Contact information
Practice address
1733 W MAIN ST, SUITE 100, DOTHAN, AL 36301-1330
(334) 702-9445
(334) 702-9465
Mailing address
PO BOX 8365, DOTHAN, AL 36304-0365
(334) 702-9445
(334) 702-9465
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
DO118
AL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
DO118
AL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
DO118
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051554243
MEDICARE IDENTIFICATION NUMBER
AL
Enumeration date
10/14/2009
Last updated
10/14/2009
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