Healthcare Provider Details

I. General information

NPI: 1922149954
Provider Name (Legal Business Name): PERFECT PAIN SOLUTIONS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2007
Last Update Date: 06/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HOSPITAL DR SUITE D
WETUMPKA AL
36092-1625
US

IV. Provider business mailing address

PO BOX 2726
BIRMINGHAM AL
35202-2726
US

V. Phone/Fax

Practice location:
  • Phone: 334-567-4311
  • Fax: 334-567-5919
Mailing address:
  • Phone: 205-322-1808
  • Fax: 205-322-1851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT L ENGLAND IV
Title or Position: AUTHORIZED REPRESENTATIVE
Credential: M.D.
Phone: 334-567-4311