Organization
SOUTH CAROLINA NEUROLOGICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDSON H. JOHNSON SR. (ADMINISTRATOR)
(803) 254-6391
Entity
Organization
Contact information
Practice address
1333 TAYLOR ST, SUITE 1-C, COLUMBIA, SC 29201-2923
(803) 254-6391
(803) 799-0682
Mailing address
PO BOX 1488, COLUMBIA, SC 29202-1488
(803) 254-6391
(803) 799-0682
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0421
—
SC
Enumeration date
08/11/2006
Last updated
02/06/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up