| NPI | 1750742417 |
|---|---|
| Doing Business As | PROVIDENCE NEUROLOGY SERVICES |
| Entity Type | Organization |
| Authorized Contact | JAMES WALKER President, Md 251-633-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |