NPI 1104611722

Southern Ketamine and Wellness, LLC

Organisation Clinic/Center Opelika, AL

Practice location

Address: 2200 Gateway Dr STE Aa, Opelika, AL 36801-6884
Phone: (334) 209-5340
Mailing address: 1932 Laurel Rd STE 1b, Vestavia Hills, AL 35216-1939

Authorised official

Name: John Harrison Irons
Title: Medical Director
Phone: (205) 379-6075

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Alabama →

Registry record

NPI: 1104611722
Entity type: Organization
NPI issued: 14 Apr 2025
Record last updated: 14 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.