Provider Demographics
NPI:1972607471
Name:NEUROLOGY CONSULTANTS OF TUSCALOOSA, P.C.
Entity Type:Organization
Organization Name:NEUROLOGY CONSULTANTS OF TUSCALOOSA, P.C.
Other - Org Name:ALABAMA NEUROLOGY & SLEEP MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-469-4104
Mailing Address - Street 1:100 RICE MINE ROAD LOOP STE 301
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2414
Mailing Address - Country:US
Mailing Address - Phone:205-345-3881
Mailing Address - Fax:205-345-7242
Practice Address - Street 1:100 RICE MINE ROAD LOOP STE 301
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2414
Practice Address - Country:US
Practice Address - Phone:205-345-3881
Practice Address - Fax:205-345-7242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL=========OtherFEIN