| Commonwealth Neuro Specialists Pc | |
|
501 Lombardy St South Hill VA 23970-2107 | |
| (434) 447-9033 | |
| (434) 447-9034 |
| Full Name | Commonwealth Neuro Specialists Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 501 Lombardy St, South Hill, Virginia |
| Authorized Official Name and Position | Carlos A Williams (PRESIDENT OWNER) |
| Authorized Official Contact | 4344479033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Neuro Specialists Pc Po Box 654 South Hill VA 23970-0654 Ph: (434) 447-9033 | Commonwealth Neuro Specialists Pc 501 Lombardy St South Hill VA 23970-2107 Ph: (434) 447-9033 |
| NPI Number | 1366479727 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366479727 | NPI | - | NPPES |
| CJ6173 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0101054817 (Virginia) | Primary |
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