| Neuroshield Network Se Llc | |
|
1304 Sunset Blvd West Columbia SC 29169-5914 | |
| (888) 329-0807 | |
| Not Available |
| Full Name | Neuroshield Network Se Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 1304 Sunset Blvd, West Columbia, South Carolina |
| Authorized Official Name and Position | Carey Powell (BILLING DIRECTOR SE) |
| Authorized Official Contact | 8883290807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroshield Network Se Llc 1304 Sunset Blvd West Columbia SC 29169-5914 Ph: (888) 329-0807 | Neuroshield Network Se Llc 1304 Sunset Blvd West Columbia SC 29169-5914 Ph: (888) 329-0807 |
| NPI Number | 1770084063 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 02/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770084063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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