| Greenville Neurology Consultants, Pa | |
|
4 Old Grove Rd Greenville SC 29605-4712 | |
| (864) 242-9662 | |
| (864) 467-0980 |
| Full Name | Greenville Neurology Consultants, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4 Old Grove Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Genna Marie Lynn (OFFICE MANAGER) |
| Authorized Official Contact | 8642429662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenville Neurology Consultants, Pa 4 Old Grove Rd Greenville SC 29605-4712 Ph: (864) 242-9662 | Greenville Neurology Consultants, Pa 4 Old Grove Rd Greenville SC 29605-4712 Ph: (864) 242-9662 |
| NPI Number | 1073618732 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073618732 | NPI | - | NPPES |
| GP1244 | Medicaid | SC | |
| Q29590 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 17836 (South Carolina) | Primary |
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