Organization
MEDICAL SPA MOKSHA, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM B NICKELL M.D. (MEDICAL DIRECTOR)
(205) 980-9393
Entity
Organization
Contact information
Practice address
500 CAHABA PARK CIR, BIRMINGHAM, AL 35242-5087
(205) 980-9393
(205) 980-4494
Mailing address
500 CAHABA PARK CIR, BIRMINGHAM, AL 35242-5087
(205) 980-9393
(205) 980-4494
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
3370
AL
261QP2300X
Primary Care Clinic/Center
3370
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306901517
NPI
—
Enumeration date
09/25/2009
Last updated
09/25/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us