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Southern Pain Specialists, P.C.

Pain Medicine, Interventional Pain Medicine in Birmingham, AL. Organization (NPI-2).

NPI number1174697106
StatusActive
Last updated in NPPESJun 12, 2013

Details

NPI
1174697106
Entity type
Organization (NPI-2)
Legal business name
Southern Pain Specialists, P.C.
Organization subpart
No
Enumeration date
Nov 20, 2006
Last updated
Jun 12, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine19582ALYes
103TC0700X Psychologist, Clinical491AL

Practice location

7191 Cahaba Valley Rd
Suite 204
Birmingham, AL 35242-6402

Phone 205-995-9967 · Fax 205-995-0635

Mailing address

7191 Cahaba Valley Rd
Suite 204
Birmingham, AL 35242-6402

Phone 205-995-9967 · Fax 205-995-0635

Authorized official

Kenneth G Varley
President
2059959967

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