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Lake Ridge Neurological
Neurology Physician in Seneca, South Carolina
NPI 1063486363

Lake Ridge Neurological is a Neurology Physician based in Seneca, SC and is specialized in Neurology. Lake Ridge Neurological practices in Seneca, SC. The NPI Number for Lake Ridge Neurological is 1063486363 and holds a License No. (South Carolina).

The current practice location address for Lake Ridge Neurological is Suite B 103 Omni Drive, Seneca, SC and can be reached out via phone at 864-885-9866 and via fax at 864-888-8307. You can also correspond with Lake Ridge Neurological through the mailing address at SUITE B 103 OMNI DRIVE, SENECA, SC - 29672-9448 (mailing address contact number: 864-885-9866).

Location: Suite B 103 Omni Drive, Seneca, SC, 29672-9448
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063486363
Provider Name
Lake Ridge Neurological
Credential
Provider Entity Type
Organization
Address
Suite B 103 Omni Drive, Seneca, SC, 29672-9448
Phone Number
864-885-9866
Fax Number
864-888-8307
Provider Enumeration Date
02/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP1724 05 SC
institution
Provider Business Practice Location Address Details
Address
Suite B 103 Omni Drive
City
Seneca
State
South Carolina
Zip
29672-9448
Phone Number
864-885-9866
Fax Number
864-888-8307
person
Provider Business Mailing Address Details
Address
Suite B 103 Omni Drive
City
Seneca
State
South Carolina
Zip
29672-9448
Phone Number
864-885-9866
Fax Number
864-888-8307
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
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Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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