| 1 Life Neurology Center | |
|
1919 Woodward Ave Muscle Shoals AL 35661-2845 | |
| (256) 898-6190 | |
| (256) 898-6191 |
| Full Name | 1 Life Neurology Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1919 Woodward Ave, Muscle Shoals, Alabama |
| Authorized Official Name and Position | Eric J Jenkie (PRESIDENT) |
| Authorized Official Contact | 2568986190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 1 Life Neurology Center 1919 Woodward Ave Muscle Shoals AL 35661-2845 Ph: (256) 898-6190 | 1 Life Neurology Center 1919 Woodward Ave Muscle Shoals AL 35661-2845 Ph: (256) 898-6190 |
| NPI Number | 1972171536 |
|---|---|
| Provider Enumeration Date | 06/11/2021 |
| Last Update Date | 12/28/2021 |
| Certification Date | 12/28/2021 |
| Medicare PECOS PAC ID | 2567865405 |
|---|---|
| Medicare Enrollment ID | O20210729001045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972171536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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