Provider Demographics
NPI:1568132827
Name:PAIN CONSULTANTS OF ALABAMA, LLC
Entity Type:Organization
Organization Name:PAIN CONSULTANTS OF ALABAMA, LLC
Other - Org Name:COMPREHENSIVE PAIN A ND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:HUNTINGTON
Authorized Official - Middle Name:T
Authorized Official - Last Name:HAPWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:228-938-0699
Mailing Address - Street 1:11350 MCCORMICK ROAD EP1 STE 501
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031
Mailing Address - Country:US
Mailing Address - Phone:703-914-8000
Mailing Address - Fax:
Practice Address - Street 1:230 GREENO RD N
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2914
Practice Address - Country:US
Practice Address - Phone:228-938-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty