Organization
NEUROSHIELD NETWORK SE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAREY POWELL (BILLING DIRECTOR SE)
(888) 329-0807
Entity
Organization
Contact information
Practice address
1304 SUNSET BLVD, WEST COLUMBIA, SC 29169-5914
(888) 329-0807
Mailing address
1304 SUNSET BLVD, WEST COLUMBIA, SC 29169-5914
(888) 329-0807
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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