| Neurology Clinic, Inc | |
|
100 Taylor Ln Ronceverte WV 24970-1337 | |
| (304) 645-5185 | |
| (904) 645-5184 |
| Full Name | Neurology Clinic, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 100 Taylor Ln, Ronceverte, West Virginia |
| Authorized Official Name and Position | Pauline L. Miley (MANAGER) |
| Authorized Official Contact | 3046455185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Clinic, Inc Po Box 1670 Lewisburg WV 24901-4670 Ph: (304) 645-5185 | Neurology Clinic, Inc 100 Taylor Ln Ronceverte WV 24970-1337 Ph: (304) 645-5185 |
| NPI Number | 1780877548 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780877548 | NPI | - | NPPES |
| DC7262 | Other | PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 21743 (West Virginia) | Primary |
Innerdimensions Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Seneca Trl, Suite A, Ronceverte, WV 24970 Phone: 304-647-5020 Fax: 304-645-6524 |