| Medical Group Of The Carolinas- Neurology Pelham | |
|
420 The Pkwy Suite A Greer SC 29650-5204 | |
| (864) 879-9395 | |
| (864) 879-9396 |
| Full Name | Medical Group Of The Carolinas- Neurology Pelham |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 420 The Pkwy, Greer, South Carolina |
| Authorized Official Name and Position | Kenneth Meinke (CHIEF FINANCIAL OFFIICER) |
| Authorized Official Contact | 8645606000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Group Of The Carolinas- Neurology Pelham Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas- Neurology Pelham 420 The Pkwy Suite A Greer SC 29650-5204 Ph: (864) 879-9395 |
| NPI Number | 1861862682 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861862682 | NPI | - | NPPES |
| GP7054 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (South Carolina) | Primary |
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