Southern Ketamine And Wellness, Llc | |
1932 Laurel Rd Ste 1b Vestavia Hills AL 35216-1939 | |
(205) 202-9163 | |
Not Available |
Full Name | Southern Ketamine And Wellness, Llc |
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Speciality | Clinic/center |
Location | 1932 Laurel Rd Ste 1b, Vestavia Hills, Alabama |
Authorized Official Name and Position | John Harrison Irons (MEDICAL DIRECTOR) |
Authorized Official Contact | 2563371453 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southern Ketamine And Wellness, Llc 1932 Laurel Rd Ste 1b Vestavia Hills AL 35216-1939 Ph: () - | Southern Ketamine And Wellness, Llc 1932 Laurel Rd Ste 1b Vestavia Hills AL 35216-1939 Ph: (205) 202-9163 |
NPI Number | 1265196257 |
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Provider Enumeration Date | 10/26/2021 |
Last Update Date | 10/26/2021 |
Identifier | Type | State | Issuer |
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1265196257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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