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CENTER FOR NEUROLOGY CARE LLC NPI 1306826060


NPI Information

NPI: 1306826060
Provider Name: CENTER FOR NEUROLOGY CARE LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 42D2057298

Address:
243 E BLACKSTOCK RD
SUITE 6
SPARTANBURG, SC
ZIP 29301
Phone: (864) 574-8925
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CENTER FOR NEUROLOGY CARE LLC is a neurology psychiatry neurology in Spartanburg, SC. 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. CENTER FOR NEUROLOGY CARE LLC NPI is 1306826060. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

243 E BLACKSTOCK RD
SUITE 6
SPARTANBURG, SC
ZIP 29301-653
Phone: (864) 574-8925
Fax: (864) 574-8922

The provider's authorized official is Gonzalo F Pares .
The authorized official title is Owner and has the following contact phone number (864) 574-8925.

The CLIA number assigned to this NPI record is 42D2057298 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 4/26/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology17884SOUTH CAROLINAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP3873MEDICAIDSOUTH CAROLINA
27768MEDICARE PINSOUTH CAROLINA
3583419014OTHERTRICARE
4P00137245OTHERRAILROAD MEDICARE
5F79150MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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