| Center For Neurology Care Llc | |
|
243 E Blackstock Rd Suite 6 Spartanburg SC 29301-2653 | |
| (864) 574-8925 | |
| (864) 574-8922 |
| Full Name | Center For Neurology Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 243 E Blackstock Rd, Spartanburg, South Carolina |
| Authorized Official Name and Position | Gonzalo F Pares (OWNER) |
| Authorized Official Contact | 8645748925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Neurology Care Llc Po Box 170158 Spartanburg SC 29301-0022 Ph: (864) 574-8925 | Center For Neurology Care Llc 243 E Blackstock Rd Suite 6 Spartanburg SC 29301-2653 Ph: (864) 574-8925 |
| NPI Number | 1306826060 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 04/26/2012 |
| Medicare PECOS PAC ID | 5890691380 |
|---|---|
| Medicare Enrollment ID | O20110103000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306826060 | NPI | - | NPPES |
| 583419014 | Other | TRICARE | |
| P00137245 | Other | RAILROAD MEDICARE | |
| GP3873 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 17884 (South Carolina) | Primary |
| Provider Name | Gonzalo F Pares |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982809042 PECOS PAC ID: 7416853908 Enrollment ID: I20040223000622 |
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