Organization
CAROLINA NEUROLOGY & NEUROIMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMAR PATEL MD (OWNER)
(864) 716-2600
Entity
Organization
Contact information
Practice address
111 SHIRE DR, ANDERSON, SC 29621-3675
(864) 716-2600
(864) 716-2666
Mailing address
111 SHIRE DR, ANDERSON, SC 29621-3675
(864) 716-2600
(864) 716-2666
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34121
STATE LICENSE
SC
Enumeration date
07/17/2020
Last updated
07/17/2020
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