SPARTANBURG NEUROLOGICAL CENTER PA NPI 1093781122

NPI Information

SPARTANBURG NEUROLOGICAL CENTER, PA is a specialist in Spartanburg, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SPARTANBURG NEUROLOGICAL CENTER, PA NPI is 1093781122. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Neurology Centers Of The Carolinas.

The provider's business location address is:

1690 SKYLYN DRIVE
SUITE 140
SPARTANBURG, SC
ZIP 29307
Phone: (864) 542-2510
Fax: (864) 583-1311

The provider's authorized official is Trey Earley .
The authorized official title is Practice Administrator and has the following contact phone number (864) 542-0088.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 9/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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