Organization
NEURO HEALTH SC LLC
Active
Other names
Genesis Lifestyle Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX SPINOSO MD (AUTHORIZED OFFICIAL)
(864) 940-3682
Entity
Organization
Contact information
Practice address
108 COMMONS BLVD STE A, PIEDMONT, SC 29673-7766
(864) 940-3682
Mailing address
108 COMMONS BLVD STE A, PIEDMONT, SC 29673-7766
(864) 940-3682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
11/20/2020
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