Healthcare Provider Details
I. General information
NPI: 1174767974
Provider Name (Legal Business Name): NORWOOD NEUROLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/23/2009
Last Update Date: 10/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
920 CASTLEMAINE CT
BIRMINGHAM AL
35226-5916
US
IV. Provider business mailing address
920 CASTLEMAINE CT
BIRMINGHAM AL
35226-5916
US
V. Phone/Fax
- Phone: 205-216-3382
- Fax: 256-287-2589
- Phone: 205-216-3382
- Fax: 256-287-2589
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ABM
SALAH
UDDIN
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 205-216-3382