Carolina Neurology & Neuroimaging Llc | |
111 Shire Dr Anderson SC 29621-3675 | |
(864) 716-2600 | |
(864) 716-2666 |
Full Name | Carolina Neurology & Neuroimaging Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 111 Shire Dr, Anderson, South Carolina |
Authorized Official Name and Position | Kumar Patel (OWNER) |
Authorized Official Contact | 8647162600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carolina Neurology & Neuroimaging Llc 111 Shire Dr Anderson SC 29621-3675 Ph: (864) 716-2600 | Carolina Neurology & Neuroimaging Llc 111 Shire Dr Anderson SC 29621-3675 Ph: (864) 716-2600 |
NPI Number | 1093323875 |
---|---|
Provider Enumeration Date | 07/17/2020 |
Last Update Date | 07/17/2020 |
Certification Date | 07/17/2020 |
Medicare PECOS PAC ID | 8921423252 |
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Medicare Enrollment ID | O20200804002354 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093323875 | NPI | - | NPPES |
34121 | Other | SC | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Kumar R. Patel |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1497893614 PECOS PAC ID: 8729273420 Enrollment ID: I20120221001081 |
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