Healthcare Provider Details

I. General information

NPI: 1003430109
Provider Name (Legal Business Name): ALAMED NEUROLOGY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2020
Last Update Date: 06/04/2020
Certification Date: 06/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7070 AARON ARONOV DR STE K
FAIRFIELD AL
35064-1809
US

IV. Provider business mailing address

7070 AARON ARONOV DR STE K
FAIRFIELD AL
35064-1809
US

V. Phone/Fax

Practice location:
  • Phone: 205-960-1517
  • Fax:
Mailing address:
  • Phone: 205-960-1517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL QUINBY
Title or Position: OWNER
Credential:
Phone: 205-960-1517