| Southern Pain Specialists, P.c. | |
|
7191 Cahaba Valley Rd Suite 204 Birmingham AL 35242-6402 | |
| (205) 995-9967 | |
| (205) 995-0635 |
| Full Name | Southern Pain Specialists, P.c. |
|---|---|
| Speciality | Pain Medicine |
| Location | 7191 Cahaba Valley Rd, Birmingham, Alabama |
| Authorized Official Name and Position | Kenneth G Varley (PRESIDENT) |
| Authorized Official Contact | 2059959967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Pain Specialists, P.c. 7191 Cahaba Valley Rd Suite 204 Birmingham AL 35242-6402 Ph: (205) 995-9967 | Southern Pain Specialists, P.c. 7191 Cahaba Valley Rd Suite 204 Birmingham AL 35242-6402 Ph: (205) 995-9967 |
| NPI Number | 1174697106 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 06/12/2013 |
| Medicare PECOS PAC ID | 9032136429 |
|---|---|
| Medicare Enrollment ID | O20051025000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174697106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 491 (Alabama) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 19582 (Alabama) | Primary |
| Provider Name | Kenneth George Varley |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1043380900 PECOS PAC ID: 5890715494 Enrollment ID: I20130508000582 |
| Provider Name | William C Knight |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356709901 PECOS PAC ID: 6507165297 Enrollment ID: I20160502001381 |
| Provider Name | Shannon Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417310921 PECOS PAC ID: 4880983147 Enrollment ID: I20160510002192 |
| Provider Name | Hunter Chatham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316516818 PECOS PAC ID: 4385046408 Enrollment ID: I20210713000871 |
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