Organization
CENTER FOR NEUROLOGY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GONZALO F PARES M.D. (OWNER)
(864) 574-8925
Entity
Organization
Contact information
Practice address
233 E BLACKSTOCK RD STE J, SPARTANBURG, SC 29301-2652
(864) 431-1644
Mailing address
PO BOX 170158, SPARTANBURG, SC 29301-0022
(864) 431-1644
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
17884
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
583419014
TRICARE
—
05
—
GP3873
—
SC
01
—
P00137245
RAILROAD MEDICARE
—
Enumeration date
01/19/2006
Last updated
04/14/2025
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