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CAROLINA NEUROLOGY OF SPARTANBURG NPI 1922345529


NPI Information

NPI: 1922345529
Provider Name: CAROLINA NEUROLOGY OF SPARTANBURG
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 42D2055362

Address:
541 FLOYD RD
SPARTANBURG, SC
ZIP 29307
Phone: (864) 585-6179
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CAROLINA NEUROLOGY OF SPARTANBURG 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. CAROLINA NEUROLOGY OF SPARTANBURG NPI is 1922345529. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

541 FLOYD RD
SPARTANBURG, SC
ZIP 29307-520
Phone: (864) 585-6179
Fax: (864) 585-5403

The provider's authorized official is Carol Kooistra .
The authorized official title is Physician and has the following contact phone number (864) 585-6179.

The CLIA number assigned to this NPI record is 42D2055362 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2013 and was last updated on 3/27/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology13349SOUTH CAROLINAYes

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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