Organization
SALEM NEUROLOGICAL CENTER, P.A.
Active
Organization
SALEM NEUROLOGICAL CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD G HILL MD (MD/PHYSICIAN)
(336) 661-5979
Entity
Organization
Contact information
Practice address
1605 WESTBROOK PLAZA DR STE 302, WINSTON SALEM, NC 27103-2900
(336) 760-3007
Mailing address
1605 WESTBROOK PLAZA DR STE 302, WINSTON SALEM, NC 27103-2900
(336) 760-3007
(336) 760-9334
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26263
NC
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0260W
NCBCBS
NC
01
—
2317067A
MEDICARE PTAN
NC
05
—
890260W
—
NC
Enumeration date
10/24/2005
Last updated
04/16/2024
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