Provider Demographics
NPI:1437162633
Name:VALLEY NEUROSURGERY INC.
Entity Type:Organization
Organization Name:VALLEY NEUROSURGERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURITA
Authorized Official - Middle Name:W
Authorized Official - Last Name:NESMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-764-7721
Mailing Address - Street 1:426 EAST DOCTOR HICKS BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630
Mailing Address - Country:US
Mailing Address - Phone:256-764-7721
Mailing Address - Fax:256-764-8589
Practice Address - Street 1:426 EAST DOCTOR HICKS BOULEVARD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5763
Practice Address - Country:US
Practice Address - Phone:256-764-7721
Practice Address - Fax:256-764-8589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty