| Umc Neurology Hospitalist | |
|
809 University Blvd E Tuscaloosa AL 35401-2029 | |
| (205) 348-1770 | |
| (205) 348-5145 |
| Full Name | Umc Neurology Hospitalist |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 809 University Blvd E, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Michelle Hawthorne (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2053481262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umc Neurology Hospitalist 850 5th Ave E Tuscaloosa AL 35401-7419 Ph: (205) 348-1770 | Umc Neurology Hospitalist 809 University Blvd E Tuscaloosa AL 35401-2029 Ph: (205) 348-1770 |
| NPI Number | 1407212392 |
|---|---|
| Provider Enumeration Date | 01/07/2016 |
| Last Update Date | 05/27/2020 |
| Certification Date | 05/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407212392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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