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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, P.A.

NPI Number 1487854956
LBN Legal business name UPSTATE NEUROLOGY, P.A.
Authorized official ARTHUR SMITH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2007
Last updated 05/13/2009 - About 17 years ago
Identifiers
SC License # 20771
SC Medicaid GP3513
SC Other DG2641 RAIL ROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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