Organization
SOUTH EAST NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FRANK ULRICH D.O. (OWNER)
(803) 905-1200
Entity
Organization
Contact information
Practice address
308 W WESMARK BLVD, SUMTER, SC 29150-1977
(803) 905-1200
(803) 905-1205
Mailing address
308 W WESMARK BLVD, SUMTER, SC 29150-1977
(803) 905-1200
(803) 905-1205
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
965
SC
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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