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CENTRAL ALABAMA CHILD NEUROLOGY P.C. NPI 1174820351


NPI Information

NPI: 1174820351
Provider Name: CENTRAL ALABAMA CHILD NEUROLOGY, P.C.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

CLIA Number: 01D0723094

Address:
1722 PINE ST
SUITE 606
MONTGOMERY, AL
ZIP 36106
Phone: (334) 618-0537
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CENTRAL ALABAMA CHILD NEUROLOGY, P.C. is a neurology with special qualifications in child neurology psychiatry neurology in Montgomery, AL. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. CENTRAL ALABAMA CHILD NEUROLOGY, P.C. NPI is 1174820351. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1722 PINE ST
SUITE 606
MONTGOMERY, AL
ZIP 36106-103
Phone: (334) 618-0537

The provider's authorized official is Leah O Sanchez .
The authorized official title is President/owner and has the following contact phone number (334) 207-4044.

The CLIA number assigned to this NPI record is 01D0723094 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/23/2011 and was last updated on 2/23/2011.


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
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology22710ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G18280MEDICARE UPIN
29457MEDICAIDALABAMA

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: 11/14/2023

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