Organization
PINEHURST NEUROLOGY, PA
Active
Organization
PINEHURST NEUROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE SOLOMON DO (NEUROLOGIST/PRESIDENT)
(910) 295-6868
Entity
Organization
Contact information
Practice address
1 PAGE RD, PINEHURST, NC 28374-8745
(910) 295-6868
(910) 295-1514
Mailing address
PO BOX 1749, PINEHURST, NC 28370-1749
(910) 295-6868
(910) 295-1514
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01885
BCBS NC
NC
05
—
8901885
—
NC
01
—
C13689
RAILROAD MEDICARE
NC
01
—
QPAA999
SC MEDICAID
SC
Enumeration date
04/21/2006
Last updated
12/03/2007
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