Organization
WHITE MOUNTAIN PAIN CLINIC, PLLC
Active
Other names
The Allen Family Irrevocable Trust
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C ALLEN M.S., D.A.A.E.T.S. (GRANTOR)
(205) 567-0832
Entity
Organization
Contact information
Practice address
5721 5TH CT S, BIRMINGHAM, AL 35212-3211
(205) 567-0832
Mailing address
PO BOX 531166, MOUNTAIN BROOK, AL 35253-1166
(205) 567-0832
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
1-083260
AL
Other
Enumeration date
11/25/2016
Last updated
11/26/2016
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