Organization
LIFESTYLE NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY HUGHES MD (ADMINISTRATOR)
(864) 238-0471
Entity
Organization
Contact information
Practice address
420 THE PARKWAY, SUITE N, GREER, SC 29650-5205
(864) 655-4005
Mailing address
420 THE PARKWAY, SUITE N, GREER, SC 29650-5205
(864) 655-4005
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
30585
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538406491
NPI
—
01
—
1679057772
NPI
—
Enumeration date
07/29/2015
Last updated
10/05/2023
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