| South East Neurology, Llc | |
|
308 W Wesmark Blvd Sumter SC 29150-1977 | |
| (803) 905-1200 | |
| (803) 905-1205 |
| Full Name | South East Neurology, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 308 W Wesmark Blvd, Sumter, South Carolina |
| Authorized Official Name and Position | Robert Frank Ulrich (OWNER) |
| Authorized Official Contact | 8039051200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South East Neurology, Llc 308 W Wesmark Blvd Sumter SC 29150-1977 Ph: (803) 905-1200 | South East Neurology, Llc 308 W Wesmark Blvd Sumter SC 29150-1977 Ph: (803) 905-1200 |
| NPI Number | 1801055173 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801055173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 965 (South Carolina) | Primary |
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