Provider Demographics
NPI:1487718607
Name:NEUROLOGY CONSULTANTS OF MONTGOMERY, PC
Entity type:Organization
Organization Name:NEUROLOGY CONSULTANTS OF MONTGOMERY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-834-1300
Mailing Address - Street 1:1722 PINE STREET
Mailing Address - Street 2:SUITE 700
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1103
Mailing Address - Country:US
Mailing Address - Phone:334-834-1300
Mailing Address - Fax:
Practice Address - Street 1:1722 PINE ST
Practice Address - Street 2:SUITE 700
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1103
Practice Address - Country:US
Practice Address - Phone:334-834-1300
Practice Address - Fax:334-834-8347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG649Medicare PIN
ALE979Medicare PIN
ALE978Medicare PIN