Organization
TENNESSEE VALLEY NEUROLOGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODROS MENGESHA MD (MEDICAL DOCTOR)
(256) 963-9444
Entity
Organization
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
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
11/17/2024
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