Organization
GREYSTONE BACK PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID B WILHELM M.D. (PRESIDENT)
(205) 263-0288
Entity
Organization
Contact information
Practice address
101 MISSIONARY RIDGE SUITE 200B, BIRMINGHAM, AL 35242
(205) 263-0288
(205) 980-0133
Mailing address
P.O. BOX 383021, BIRMINGHAM, AL 35238-3021
(205) 263-0288
(205) 980-0133
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51000762
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/03/2007
Last updated
08/22/2020
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