| NPI | 1346319886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BEENE Office Manager 256-492-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 11414) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2018-02-19 |