| Regional Family Neurology | |
|
853 N Church Street Suite 640 Spartanburg SC 29303-3040 | |
| (864) 560-6445 | |
| (864) 560-4413 |
| Full Name | Regional Family Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 853 N Church Street, Spartanburg, South Carolina |
| Authorized Official Name and Position | Gina Michelle Hillers (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8645604057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Family Neurology Po Box 2168 Spartanburg SC 29304 Ph: (864) 560-4304 | Regional Family Neurology 853 N Church Street Suite 640 Spartanburg SC 29303-3040 Ph: (864) 560-6445 |
| NPI Number | 1710918230 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710918230 | NPI | - | NPPES |
| CN1627 | Other | SC | RAILROAD MEDICARE GROUP# |
| 57600934075 | Other | SC | BLUE CROSS BLUE SHIELD G |
| 6906099 | Medicaid | NC | |
| GP2722 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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