Provider Demographics
NPI:1922764018
Name:PAIN AND REHABILITATION CONSULTANTS
Entity type:Organization
Organization Name:PAIN AND REHABILITATION CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:MCCOOMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-464-7855
Mailing Address - Street 1:8000 MADISON BLVD # D102-291
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-2031
Mailing Address - Country:US
Mailing Address - Phone:256-464-7855
Mailing Address - Fax:855-301-8314
Practice Address - Street 1:200 E MCKINNEY AVE
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-1828
Practice Address - Country:US
Practice Address - Phone:256-464-7855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAIN AND REHABILITATION CONSULTANTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-12
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty