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Upstate Neurology, P.a.
Specialist in Piedmont, South Carolina
NPI 1487854956

Upstate Neurology, P.a. is a Specialist based in Greenville, SC. Upstate Neurology, P.a. practices in Piedmont, SC. The NPI Number for Upstate Neurology, P.a. is 1487854956 and holds a License No. 20771 (South Carolina).

The current practice location address for Upstate Neurology, P.a. is 103 Clair Drive, Piedmont, SC and can be reached out via phone at 864-295-0051 and via fax at 864-295-0058.

Location: 103 Clair Drive, Piedmont, SC, 29604-8620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487854956
Provider Name
Upstate Neurology, P.a.
Credential
Provider Entity Type
Organization
Address
103 Clair Drive, Piedmont, SC, 29604-8620
Phone Number
864-295-0051
Fax Number
864-295-0058
Provider Enumeration Date
07/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DG2641 01 SC RAIL ROAD MEDICARE
GP3513 05 SC
institution
Provider Business Practice Location Address Details
Address
103 Clair Drive
City
Piedmont
State
South Carolina
Zip
29673
Phone Number
864-295-0051
Fax Number
864-295-0058
person
Provider Business Mailing Address Details
Address
103 Clair Drive
City
Piedmont
State
South Carolina
Zip
29673
Phone Number
864-295-0051
Fax Number
864-295-0058
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
20771 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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