| Name: | Neurology Consultants of Central Alabama, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 23 May 1997 (27 years ago) |
| Entity Number: | 000-187-530 |
| Register Number: | 000187530 |
| County: | Dallas |
| Place of Formation: | Dallas County |
| Principal Address: | SELMA, AL |
| Registered Office Street Address: | 6 OFFICE PARK CIRCLESELMA, AL 36701 |
| Registered Office Street Address ZIP Code: | 36701 |
| Authorized Capital: | $1,000 |
Activities
MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336289289 | 2007-02-08 | 2008-06-26 | 217 BROAD ST, SELMA, AL, 367014589, US | 217 BROAD ST, SELMA, AL, 367014589, US | |||||||||||||||||||||||||
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| Phone | +1 334-872-8627 |
| Fax | 3348728629 |
Authorized person
| Name | DR. WALID WAJIH FREIJ |
| Role | OWNER |
| Phone | 3348728627 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 18755 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529702780 |
| State | AL |
| Name | Role |
|---|---|
| FREIJ, WALID | Agent |
| Name | Role |
|---|---|
| FREIJ, WALID | Incorporator |
| ABDEL-HALIM, JAMAL | Incorporator |
| DAJANI, BADR | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
