Organization · NPI-2

1 Life Neurology Center

Psychiatry & Neurology, Neurology · Muscle Shoals, AL

NPI number1972171536
StatusActive
Last updated in NPPESDec 28, 2021

Details

NPI
1972171536
Entity type
Organization (NPI-2)
Legal business name
1 Life Neurology Center
Organization subpart
No
Enumeration date
Jun 11, 2021
Certification date
Dec 28, 2021
Last updated
Dec 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes

Practice location

1919 Woodward Ave
Muscle Shoals, AL 35661-2845

Phone 256-898-6190 · Fax 256-898-6191

Mailing address

1919 Woodward Ave
Muscle Shoals, AL 35661-2845

Phone 256-898-6190

Authorized official

Eric J Jenkie
President
2568986190

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