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COOSA PAIN AND WELLNESS NPI 1093147951


NPI Information

NPI: 1093147951
Provider Name: COOSA PAIN AND WELLNESS
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
3804 RAINBOW DR
RAINBOW CITY, AL
ZIP 35906
Phone: (256) 952-2200
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COOSA PAIN AND WELLNESS is a pain medicine anesthesiology in Rainbow City, AL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. COOSA PAIN AND WELLNESS NPI is 1093147951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3804 RAINBOW DR
RAINBOW CITY, AL
ZIP 35906-051
Phone: (256) 952-2200
Fax: (256) 952-2202

The provider's authorized official is Thomas Kevin Lackey .
The authorized official title is Owner and has the following contact phone number (256) 442-6181.

The enumeration date for this NPI number is 8/2/2013 and was last updated on 6/22/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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