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Brain Restoration Clinic, Pllc
Neurology with Special Qualifications in Child Neurology Physician in Indian Land, South Carolina
NPI 1871912667

Brain Restoration Clinic, Pllc is a Neurology with Special Qualifications in Child Neurology Physician based in Indian Land, SC and is specialized in Neurology with Special Qualifications in Child Neurology. Brain Restoration Clinic, Pllc practices in Indian Land, SC. The NPI Number for Brain Restoration Clinic, Pllc is 1871912667 and holds a License No. 200601910 (South Carolina).

The current practice location address for Brain Restoration Clinic, Pllc is 1040 Edgewater Corp Pkwy, Indian Land, SC and can be reached out via phone at 704-541-9117 and via fax at 704-541-9137.

Location: 1040 Edgewater Corp Pkwy, Indian Land, SC, 29707-4514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871912667
Provider Name
Brain Restoration Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
1040 Edgewater Corp Pkwy, Indian Land, SC, 29707-4514
Phone Number
704-541-9117
Fax Number
704-541-9137
Provider Enumeration Date
04/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5905648 05 NC
institution
Provider Business Practice Location Address Details
Address
1040 Edgewater Corp Pkwy
City
Indian Land
State
South Carolina
Zip
29707-4514
Phone Number
704-541-9117
Fax Number
704-541-9137
person
Provider Business Mailing Address Details
Address
1040 Edgewater Corp Pkwy
City
Indian Land
State
South Carolina
Zip
29707-4514
Phone Number
704-541-9117
Fax Number
704-541-9137
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
200601910 (North Carolina)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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