| NPI | 1306973060 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TAMMY MICHELLE SIVLEY Billing Manager 205-787-8676 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 11156) | 
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AL 16869) | 
| Enumeration Date | 2007-02-28 | 
| Last Update Date | 2009-10-28 |