| NPI | 1013678853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA BOGDANOVA Provider 256-492-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2023-03-28 |