Carolina Neurological Clinic, L.l.p. | |
3531 Mary Ader Ave Suite A Charleston SC 29414-5896 | |
(843) 723-0202 | |
(843) 723-1052 |
Full Name | Carolina Neurological Clinic, L.l.p. |
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Speciality | Psychiatry & Neurology |
Location | 3531 Mary Ader Ave, Charleston, South Carolina |
Authorized Official Name and Position | James L Bumgartner (MANAGING PARTNER) |
Authorized Official Contact | 8437230202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carolina Neurological Clinic, L.l.p. 3531 Mary Ader Ave Suite A Charleston SC 29414-5896 Ph: (843) 723-0202 | Carolina Neurological Clinic, L.l.p. 3531 Mary Ader Ave Suite A Charleston SC 29414-5896 Ph: (843) 723-0202 |
NPI Number | 1346209129 |
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Provider Enumeration Date | 03/21/2006 |
Last Update Date | 12/02/2016 |
Medicare PECOS PAC ID | 7719953942 |
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Medicare Enrollment ID | O20040908001208 |
Identifier | Type | State | Issuer |
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1346209129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | (South Carolina) | Primary |
Provider Name | Hamid R Bahadori |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1861571887 PECOS PAC ID: 4587765219 Enrollment ID: I20070725000596 |
Provider Name | Roy W King |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1861447443 PECOS PAC ID: 1850390147 Enrollment ID: I20081119000755 |
Provider Name | James L Bumgartner |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1477522845 PECOS PAC ID: 7416131032 Enrollment ID: I20110406000390 |
Provider Name | Charles Jervey |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1801865365 PECOS PAC ID: 5799751921 Enrollment ID: I20110510000676 |
Provider Name | Lori Marie Craig |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003468745 PECOS PAC ID: 0244662013 Enrollment ID: I20191115001923 |
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