CHARLOTTE NEUROSCIENCE FOUNDATION NPI 1508394750

NPI Information

  • NPI: 1508394750
  • Provider Name: CHARLOTTE NEUROSCIENCE FOUNDATION
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Doing Business As: MEMORY & MOVEMENT CHARLOTTE
  • Address: 411 BILLINGSLEY RD STE 103
    CHARLOTTE, NC
    ZIP 28211
  • Phone: (704) 577-3186

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NPI Details

CHARLOTTE NEUROSCIENCE FOUNDATION 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. CHARLOTTE NEUROSCIENCE FOUNDATION NPI is 1508394750. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Memory & Movement Charlotte.

The provider's business location address is:

411 BILLINGSLEY RD STE 103
CHARLOTTE, NC
ZIP 28211-066
Phone: (704) 577-3186
Fax: (704) 626-2701

The provider's authorized official is Sanjay S Iyer .
The authorized official title is Medical Director and has the following contact phone number (704) 577-3186.

The enumeration date for this NPI number is 6/1/2017 and was last updated on 1/9/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

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This page was last updated on: 3/30/2025

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