| Carolina Neurology Associates, Pllc | |
|
2500 Village Dr Suite 102 Fayetteville NC 28304-3811 | |
| (910) 484-0029 | |
| Not Available |
| Full Name | Carolina Neurology Associates, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2500 Village Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Venugopal Gadipudi (OWNER) |
| Authorized Official Contact | 9104840029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Neurology Associates, Pllc Po Box 1689 Etowah NC 28729-1689 Ph: (828) 891-5524 | Carolina Neurology Associates, Pllc 2500 Village Dr Suite 102 Fayetteville NC 28304-3811 Ph: (910) 484-0029 |
| NPI Number | 1831208867 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 12/17/2010 |
| Medicare PECOS PAC ID | 5395759294 |
|---|---|
| Medicare Enrollment ID | O20060131000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831208867 | NPI | - | NPPES |
| DE2869 | Other | RAILROAD MEDICARE | |
| 1375A | Other | BLUE CROSS BLUE SHIELD | |
| 891375A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Venugopal N Gadipudi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073518494 PECOS PAC ID: 9335034784 Enrollment ID: I20041104000507 |
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