Organization
AIKEN NEUROSCIENCES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A EISENBERG MD (OWNER)
(803) 642-6500
Entity
Organization
Contact information
Practice address
410 UNIVERSITY PKWY, SUITE 2360, AIKEN, SC 29801-6810
(843) 669-5162
(843) 667-4573
Mailing address
PO BOX 100523, FLORENCE, SC 29501-0523
(843) 669-5162
(843) 667-4573
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
SC
2084N0400X
Neurology Physician
Primary
17067
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3740
—
SC
Enumeration date
04/04/2006
Last updated
03/07/2012
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