Organization
DOTHAN PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SHEDDEN D.O. (OWNER)
(334) 702-9445
Entity
Organization
Contact information
Practice address
318 WESTGATE PKWY, SUITE 2, DOTHAN, AL 36303-2963
(334) 702-9445
(334) 702-9465
Mailing address
318 WESTGATE PKWY, SUITE 2, DOTHAN, AL 36303-2963
(334) 702-9445
(334) 702-9465
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
AL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
AL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
AL
Other
Enumeration date
02/11/2014
Last updated
02/18/2014
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