| South Carolina Neurology Associates Llc | |
|
201 Ste B Central Park Lane Seneca SC 29678-1156 | |
| (864) 577-9107 | |
| (864) 699-1999 |
| Full Name | South Carolina Neurology Associates Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 201 Ste B Central Park Lane, Seneca, South Carolina |
| Authorized Official Name and Position | Urvi Shah (OWNER) |
| Authorized Official Contact | 8645779107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Carolina Neurology Associates Llc 10 Financial Blvd Anderson SC 29621-1770 Ph: (864) 577-9107 | South Carolina Neurology Associates Llc 201 Ste B Central Park Lane Seneca SC 29678-1156 Ph: (864) 577-9107 |
| NPI Number | 1649039462 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 4587002670 |
|---|---|
| Medicare Enrollment ID | O20240409002512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649039462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Bogdan P Gheorghiu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902892904 PECOS PAC ID: 8022920271 Enrollment ID: I20031105000228 |
| Provider Name | Katrina Sharpe Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851724272 PECOS PAC ID: 9133426984 Enrollment ID: I20160323000286 |
| Provider Name | Ashley Nicole Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194372318 PECOS PAC ID: 6103258660 Enrollment ID: I20191121001467 |
| Provider Name | Kelsie Elizabeth Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770138562 PECOS PAC ID: 8820412927 Enrollment ID: I20200722002105 |
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