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Organization

SOUTHEASTERN PAIN AND WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID TUNNELL (AO)
(252) 412-4465
Entity
Organization

Contact information

Practice address
402 W KING ST, KING, NC 27021-9170
(336) 391-0801
(877) 781-0070
Mailing address
7956 VAUGHN RD # 165, MONTGOMERY, AL 36116-6625

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
09/10/2020
Last updated
02/03/2021
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