Organization
NEUROLOGY ASSOC OF GREENVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENT H KISTLER (PRESIDENT)
(864) 232-9644
Entity
Organization
Contact information
Practice address
1130 GROVE RD, GREENVILLE, SC 29605-4620
(864) 232-9644
(864) 232-7825
Mailing address
1130 GROVE RD, GREENVILLE, SC 29605-4620
(864) 232-9644
(864) 232-7825
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/22/2005
Last updated
12/01/2009
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