CAROLINA NEUROLOGICAL CLINIC PA NPI 1902861396

NPI Information

CAROLINA NEUROLOGICAL CLINIC, PA is a neurology psychiatry neurology in Charlotte, NC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CAROLINA NEUROLOGICAL CLINIC, PA NPI is 1902861396. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3541 RANDOLPH RD
SUITE 101
CHARLOTTE, NC
ZIP 28211-082
Phone: (704) 377-9323
Fax: (704) 331-4030

The provider's authorized official is Shepard Averitt .
The authorized official title is Administrator and has the following contact phone number (704) 377-9323.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 8/22/2020.

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

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