Individual
THEODROS MENGESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8484 WANN DR NW STE A, MADISON, AL 35758-9545
(256) 963-9444
(256) 963-9446
Mailing address
8484 WANN DR NW STE A, MADISON, AL 35758-9545
(256) 963-9444
(256) 963-9446
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28347
AL
2084N0400X
Neurology Physician
Primary
28347
AL
Other
Enumeration date
01/04/2007
Last updated
11/17/2024
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