| Carolina Neurobehavioral Associates | |
|
1504 Heritage Ln Florence SC 29505-3141 | |
| (843) 413-0303 | |
| (843) 413-0340 |
| Full Name | Carolina Neurobehavioral Associates |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1504 Heritage Ln, Florence, South Carolina |
| Authorized Official Name and Position | Jesse Michael West (OWNER) |
| Authorized Official Contact | 8434130303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Neurobehavioral Associates 1504 Heritage Ln Florence SC 29505-3141 Ph: (843) 413-0303 | Carolina Neurobehavioral Associates 1504 Heritage Ln Florence SC 29505-3141 Ph: (843) 413-0303 |
| NPI Number | 1386940872 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 02/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386940872 | NPI | - | NPPES |
| 1609850825 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 000664 (South Carolina) | Primary |
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