South Alabama Pain Management PLLC
in Mobile, AL. Organization (NPI-2).
NPI number1457727232
StatusActive
Last updated in NPPESDec 9, 2015
Details
- NPI
- 1457727232
- Entity type
- Organization (NPI-2)
- Legal business name
- South Alabama Pain Management PLLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2015
- Last updated
- Dec 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | 28820 | AL | Yes |
Practice location
4325 Midmost Dr Ste AMobile, AL 36609-5545
Phone 251-517-1822 · Fax 251-662-9482
Mailing address
4325 Midmost Dr Ste AMobile, AL 36609-5545
Phone 251-517-1822 · Fax 251-662-9482
Authorized official
Tariq Farooqui
Owner
2515171822
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