DOTHAN PAIN CENTER LLC NPI 1851715833

NPI Information

NPI: 1851715833
Provider Name: DOTHAN PAIN CENTER LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
318 WESTGATE PKWY
SUITE 2
DOTHAN, AL
ZIP 36303
Phone: (334) 702-9445
Get Directions

DOTHAN PAIN CENTER LLC is an addiction medicine family medicine in Dothan, AL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DOTHAN PAIN CENTER LLC NPI is 1851715833. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

318 WESTGATE PKWY
SUITE 2
DOTHAN, AL
ZIP 36303-963
Phone: (334) 702-9445
Fax: (334) 702-9465

The provider's authorized official is Robert Shedden .
The authorized official title is Owner and has the following contact phone number (334) 702-9445.

The enumeration date for this NPI number is 2/11/2014 and was last updated on 2/18/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	ALABAMA	No
2	2081S0010X	Physical Medicine & Rehabilitation	Sports Medicine	ALABAMA	No
3	207QA0401X	Family Medicine	Addiction Medicine	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051554243	MEDICARE PIN	ALABAMA

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

NPI Synchronization or Removal

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