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Contact Information

UPSTATE NEUROLOGY, P.A.
103 CLAIR DRIVE
SUITE D
PIEDMONT, SC29673
 Phone: 864-295-0051
 Fax: 864-295-0058
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for UPSTATE NEUROLOGY PA · (Female)

NPI Number 1487854956
Status Active
Credentials
Entity Individual
Enumeration date 07/23/2007
Last updated 05/13/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 20771
  • SC Medicaid GP3513
  • SC Other DG2641 RAIL ROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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