Organization
COASTAL NEUROLOGIC INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIDNEY LYNN MCCLENDON PA-C (PHYSICIAN ASSISTANT)
(205) 382-0908
Entity
Organization
Contact information
Practice address
30762 STATE HIGHWAY 181, SPANISH FORT, AL 36527-5672
(205) 382-0908
Mailing address
30762 STATE HIGHWAY 181, SPANISH FORT, AL 36527-5672
(205) 382-0908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AL
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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