Provider Demographics
NPI:1891829396
Name:NORTH ALABAMA PAIN SVCS, LLC
Entity Type:Organization
Organization Name:NORTH ALABAMA PAIN SVCS, LLC
Other - Org Name:MARK ANTHONY MURPHY, M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-340-9553
Mailing Address - Street 1:1852 BELTLINE RD SW
Mailing Address - Street 2:SUITE G
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-5518
Mailing Address - Country:US
Mailing Address - Phone:256-340-9553
Mailing Address - Fax:
Practice Address - Street 1:1852 BELTLINE RD SW
Practice Address - Street 2:SUITE G
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-5518
Practice Address - Country:US
Practice Address - Phone:256-340-9553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2187174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALD06587Medicare UPIN