| Neuropathways, Pllc | |
|
4228 Lomac St Ste 2 Montgomery AL 36106-2929 | |
| (919) 928-2351 | |
| Not Available |
| Full Name | Neuropathways, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4228 Lomac St Ste 2, Montgomery, Alabama |
| Authorized Official Name and Position | Mathew Wallace (OWNER) |
| Authorized Official Contact | 9199282351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropathways, Pllc 4228 Lomac St Ste 2 Montgomery AL 36106-2929 Ph: (919) 928-2351 | Neuropathways, Pllc 4228 Lomac St Ste 2 Montgomery AL 36106-2929 Ph: (919) 928-2351 |
| NPI Number | 1619720059 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/07/2024 |
| Medicare PECOS PAC ID | 2668812223 |
|---|---|
| Medicare Enrollment ID | O20240430000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619720059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Mathew Wallace |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1306945829 PECOS PAC ID: 1254314800 Enrollment ID: I20201105000946 |
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