Provider Demographics
NPI:1265689483
Name:ALLAYANT PAIN MANAGEMENT PC
Entity Type:Organization
Organization Name:ALLAYANT PAIN MANAGEMENT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOTHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-376-0001
Mailing Address - Street 1:840 FLEMING ST STE 1
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3541
Mailing Address - Country:US
Mailing Address - Phone:828-490-4444
Mailing Address - Fax:828-490-4425
Practice Address - Street 1:840 FLEMING ST STE 1
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3541
Practice Address - Country:US
Practice Address - Phone:828-490-4444
Practice Address - Fax:828-490-4425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty