NEUROSHIELD NETWORK SE LLC NPI 1770084063

NPI Information

  • NPI: 1770084063
  • Provider Name: NEUROSHIELD NETWORK SE LLC
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Organization
  • Address: 1304 SUNSET BLVD
    WEST COLUMBIA, SC
    ZIP 29169
  • Phone: (888) 329-0807

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NPI Details

NEUROSHIELD NETWORK SE LLC is a clinical neurophysiology psychiatry neurology in West Columbia, SC. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). NEUROSHIELD NETWORK SE LLC NPI is 1770084063. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1304 SUNSET BLVD
WEST COLUMBIA, SC
ZIP 29169-914
Phone: (888) 329-0807

The provider's authorized official is Carey Powell .
The authorized official title is Billing Director Se and has the following contact phone number (888) 329-0807.

The enumeration date for this NPI number is 2/22/2018 and was last updated on 2/22/2018.

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
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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