Organization
ALABAMA NEUROLOGICAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILO R GOMEZ M.D. (PHYSICIAN)
(205) 874-8787
Entity
Organization
Contact information
Practice address
513 BROOKWOOD BLVD, SUITE #405, BIRMINGHAM, AL 35209-6862
(205) 874-8787
(205) 802-6801
Mailing address
513 BROOKWOOD BLVD, SUITE #405, BIRMINGHAM, AL 35209-6862
(205) 874-8787
(205) 802-6801
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J321
MEDICARE GROUP
AL
Enumeration date
05/24/2007
Last updated
01/30/2008
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