| Alabama Pain Center, Llc | |
|
600 Whitesport Drive Suite A Huntsville AL 35801 | |
| (256) 882-2003 | |
| (256) 705-4630 |
| Full Name | Alabama Pain Center, Llc |
|---|---|
| Speciality | Anesthesiology - Pain Medicine |
| Location | 600 Whitesport Drive, Huntsville, Alabama |
| Authorized Official Name and Position | Kenneth Dean Willis (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2568822003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alabama Pain Center, Llc 600 Whitesport Drive Suite A Huntsville AL 35801 Ph: (256) 882-2003 | Alabama Pain Center, Llc 600 Whitesport Drive Suite A Huntsville AL 35801 Ph: (256) 882-2003 |
| NPI Number | 1831265776 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 08/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831265776 | NPI | - | NPPES |
| 529908240 | Medicaid | AL |
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