Organization
TRI-CITY NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAZAL RAHIM MD (OWNER)
(256) 493-0349
Entity
Organization
Contact information
Practice address
200 BATTLE ST E, TALLADEGA, AL 35160-2420
(256) 493-0349
Mailing address
200 BATTLE ST E, TALLADEGA, AL 35160-2420
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25571
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009960855
—
AL
Enumeration date
05/16/2009
Last updated
05/16/2009
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