| Danville Neurology Associates, Inc. | |
|
129 Broad St Suite B Danville VA 24541-2301 | |
| (434) 791-2600 | |
| (434) 792-5347 |
| Full Name | Danville Neurology Associates, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 129 Broad St, Danville, Virginia |
| Authorized Official Name and Position | Victor Owusu-yaw (OWNER) |
| Authorized Official Contact | 4347912600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danville Neurology Associates, Inc. 129 Broad St Suite B Danville VA 24541-2301 Ph: (434) 791-2600 | Danville Neurology Associates, Inc. 129 Broad St Suite B Danville VA 24541-2301 Ph: (434) 791-2600 |
| NPI Number | 1104950427 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 10/02/2022 |
| Certification Date | 10/02/2022 |
| Medicare PECOS PAC ID | 9335166768 |
|---|---|
| Medicare Enrollment ID | O20051026000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104950427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Edythe A Boitnott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780718973 PECOS PAC ID: 6002988060 Enrollment ID: I20080708000371 |
| Provider Name | Victor Owusu Yaw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669518205 PECOS PAC ID: 8628095080 Enrollment ID: I20100830000530 |
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