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CAROLINA NEUROLOGY ASSOCIATES PLLC NPI 1831208867


NPI Information

NPI: 1831208867
Provider Name: CAROLINA NEUROLOGY ASSOCIATES, PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2500 VILLAGE DR
SUITE 102
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 484-0029
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CAROLINA NEUROLOGY ASSOCIATES, PLLC is a neurology psychiatry neurology in Fayetteville, 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 NEUROLOGY ASSOCIATES, PLLC NPI is 1831208867. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 VILLAGE DR
SUITE 102
FAYETTEVILLE, NC
ZIP 28304-811
Phone: (910) 484-0029

The provider's authorized official is Venugopal Gadipudi .
The authorized official title is Owner and has the following contact phone number (910) 484-0029.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/17/2010.


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 & NeurologyNeurologyYes

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
11375AOTHERBLUE CROSS BLUE SHIELD
2DE2869OTHERRAILROAD MEDICARE
32349875MEDICARE PIN
4891375AMEDICAIDNORTH CAROLINA

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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