| Lifeworks Neurodiagnostic Center Pllc | |
|
2919 Breezewood Ave Ste 201 Fayetteville NC 28303-5283 | |
| (910) 294-6954 | |
| Not Available |
| Full Name | Lifeworks Neurodiagnostic Center Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2919 Breezewood Ave Ste 201, Fayetteville, North Carolina |
| Authorized Official Name and Position | Rhunelle Murray (OWNER) |
| Authorized Official Contact | 9102946954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworks Neurodiagnostic Center Pllc 2919 Breezewood Ave Ste 201 Fayetteville NC 28303-5283 Ph: (910) 294-6954 | Lifeworks Neurodiagnostic Center Pllc 2919 Breezewood Ave Ste 201 Fayetteville NC 28303-5283 Ph: (910) 294-6954 |
| NPI Number | 1164294617 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Medicare PECOS PAC ID | 9739537457 |
|---|---|
| Medicare Enrollment ID | O20231118000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164294617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
| Provider Name | Rhunelle C Murray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619175924 PECOS PAC ID: 5890847982 Enrollment ID: I20231118000064 |
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