Organization
SOUTHERN NEUROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WATKINS WARNER JR. MD (PRESIDENT)
(843) 836-3667
Entity
Organization
Contact information
Practice address
23 PLANTATION PARK DR, BLDG 400 BOX 402, BLUFFTON, SC 29910-6038
(843) 836-3667
(843) 836-3677
Mailing address
23 PLANTATION PARK DRIVE, BLDG 400 BOX 402, BLUFFTON, SC 29910-9009
(843) 836-3667
(843) 836-3677
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
14558
SC
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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