Organization
NEUROLOGY CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TENESHIA K DAVIS (ADMINISTRATIVE ASSISTANT)
(205) 333-2626
Entity
Organization
Contact information
Practice address
1325 MCFARLAND BLVD, SUITE 201, NORTHPORT, AL 35476-3270
(205) 333-2626
(205) 333-8718
Mailing address
1325 MCFARLAND BLVD, SUITE 201, NORTHPORT, AL 35476-3270
(205) 333-2626
(205) 333-8718
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8700
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-11377
BCBS
AL
Enumeration date
11/28/2006
Last updated
08/22/2020
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