Healthcare Provider Details
I. General information
NPI: 1730548264
Provider Name (Legal Business Name): TENNESSEE VALLEY PAIN CONSULTANTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/11/2016
Last Update Date: 03/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 GOVERNORS DR SW STE 400
HUNTSVILLE AL
35801-5183
US
IV. Provider business mailing address
PO BOX 11407
BIRMINGHAM AL
35246-0116
US
V. Phone/Fax
- Phone: 256-265-7246
- Fax: 265-265-7017
- Phone: 256-533-7064
- Fax: 256-704-0115
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MORRIS
SCHERLIS
Title or Position: PRESIDENT
Credential: MD
Phone: 256-265-7246