| Neurological Associates Of Rutherford, Pllc | |
|
153 W Court St Rutherfordton NC 28139-2804 | |
| (828) 288-0880 | |
| Not Available |
| Full Name | Neurological Associates Of Rutherford, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 153 W Court St, Rutherfordton, North Carolina |
| Authorized Official Name and Position | Anne M Jackson (OWNER) |
| Authorized Official Contact | 8282880880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurological Associates Of Rutherford, Pllc Po Box 591 Rutherfordton NC 28139-0591 Ph: (828) 288-0880 | Neurological Associates Of Rutherford, Pllc 153 W Court St Rutherfordton NC 28139-2804 Ph: (828) 288-0880 |
| NPI Number | 1598808354 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 09/30/2013 |
| Medicare PECOS PAC ID | 0446356208 |
|---|---|
| Medicare Enrollment ID | O20070511000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598808354 | NPI | - | NPPES |
| 891139E | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Annie M Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891839866 PECOS PAC ID: 5799881553 Enrollment ID: I20070511000121 |
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