Basic Information
Provider Information
NPI: 1033531637
EntityType: 2
ReplacementNPI:  
OrganizationName: SYKES NEUROLOGY PC
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Mailing Information
Address1: PO BOX 8159
Address2:  
City: MOBILE
State: AL
PostalCode: 366890159
CountryCode: US
TelephoneNumber: 2514145810
FaxNumber: 2514145809
Practice Location
Address1: 52 MEDICAL PARK DR E STE 320
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352353441
CountryCode: US
TelephoneNumber: 2514145810
FaxNumber: 8665919511
Other Information
ProviderEnumerationDate: 01/16/2014
LastUpdateDate: 01/16/2014
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AuthorizedOfficialLastName: SYKES
AuthorizedOfficialFirstName: PAUL
AuthorizedOfficialMiddleName: A
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 2514145810
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD, PH.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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