NPI 1043463557 · live from the CMS NPI Registry
Dothan Neurodiagnostic Center PC
Psychiatry & Neurology, Neurology in Dothan, AL. National Provider Identifier 1043463557, active.
NPI record
| NPI | 1043463557 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 1800 Fairview Ave, Suite 1, Dothan, AL 36301 |
| Practice phone | 334-793-1703 |
| Enumerated | October 28, 2008 |
| Last updated | October 28, 2008 |
| Authorized official | Alan Prince, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 11321 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.