Healthcare Provider Details

I. General information

NPI: 1578920625
Provider Name (Legal Business Name): GREYSTONE NEUROLOGY AND PAIN CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2016
Last Update Date: 04/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 HUGH DANIEL DR SUITE 250
BIRMINGHAM AL
35242-7148
US

IV. Provider business mailing address

7500 HUGH DANIEL DR SUITE 250
BIRMINGHAM AL
35242-7148
US

V. Phone/Fax

Practice location:
  • Phone: 205-991-3300
  • Fax: 205-991-3327
Mailing address:
  • Phone: 205-991-3300
  • Fax: 205-991-3327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN L SMITH
Title or Position: CEO
Credential:
Phone: 205-991-3300