NPI 1003896887 · live from the CMS NPI Registry
Dothan Neurology Clinic, PC
Psychiatry & Neurology, Neurology in Dothan, AL. National Provider Identifier 1003896887, active.
NPI record
| NPI | 1003896887 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 4300 W Main St, Suite 102, Dothan, AL 36305 |
| Practice phone | 334-793-9564 |
| Enumerated | January 18, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Lois Sallas, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.