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WIREGRASS NEUROLOGY PC NPI 1992096440


NPI Information

NPI: 1992096440
Provider Name: WIREGRASS NEUROLOGY, PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 01D1062614

Address:
4300 W MAIN ST
SUITE 102
DOTHAN, AL
ZIP 36305
Phone: (334) 793-9564
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WIREGRASS NEUROLOGY, PC is a neurology psychiatry neurology in Dothan, AL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. WIREGRASS NEUROLOGY, PC NPI is 1992096440. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4300 W MAIN ST
SUITE 102
DOTHAN, AL
ZIP 36305-092
Phone: (334) 793-9564
Fax: (334) 671-8907

The provider's authorized official is Melissa W Reeves .
The authorized official title is Administrator and has the following contact phone number (334) 793-9564.

The CLIA number assigned to this NPI record is 01D1062614 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/2/2011 and was last updated on 5/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology30759ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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