| Southern Ketamine And Wellness, Llc | |
|
1932 Laurel Rd Ste 1b Vestavia Hills AL 35216-1939 | |
| (205) 202-9163 | |
| Not Available |
| Full Name | Southern Ketamine And Wellness, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1932 Laurel Rd Ste 1b, Vestavia Hills, Alabama |
| Authorized Official Name and Position | John Harrison Irons (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2563371453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Ketamine And Wellness, Llc 1932 Laurel Rd Ste 1b Vestavia Hills AL 35216-1939 Ph: () - | Southern Ketamine And Wellness, Llc 1932 Laurel Rd Ste 1b Vestavia Hills AL 35216-1939 Ph: (205) 202-9163 |
| NPI Number | 1265196257 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 10/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265196257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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