Organization
UPSTATE NEUROLOGY, P.A.
Active
Other names
Upstate Neurology, P.A
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR LAWRENCE SMITH M.D. (PRESIDENT)
(864) 295-0051
Entity
Organization
Contact information
Practice address
103 CLAIR DRIVE, SUITE D, PIEDMONT, SC 29673
(864) 295-0051
(864) 295-0058
Mailing address
PO BOX 8620, GREENVILLE, SC 29604-8620
(864) 295-0051
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20771
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG2641
RAIL ROAD MEDICARE
SC
05
—
GP3513
—
SC
Enumeration date
07/23/2007
Last updated
05/13/2009
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