| Highland Neurology Center Pa | |
|
3645 Cape Center Dr Fayetteville NC 28304-4457 | |
| (910) 483-9200 | |
| (910) 483-5678 |
| Full Name | Highland Neurology Center Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3645 Cape Center Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Richard Doro Serano (PRESIDENT) |
| Authorized Official Contact | 9104839200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Neurology Center Pa 3645 Cape Center Dr Fayetteville NC 28304-4457 Ph: (910) 483-9200 | Highland Neurology Center Pa 3645 Cape Center Dr Fayetteville NC 28304-4457 Ph: (910) 483-9200 |
| NPI Number | 1609918648 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 02/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609918648 | NPI | - | NPPES |
| 890130J | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 20341 (North Carolina) | Primary |
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