| Great Valley Neurological Associates Llc | |
|
11 Industrial Blvd Suite 204 Paoli PA 19301-1632 | |
| (610) 644-6251 | |
| (610) 644-1440 |
| Full Name | Great Valley Neurological Associates Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11 Industrial Blvd, Paoli, Pennsylvania |
| Authorized Official Name and Position | Thomas H Graham (PHYSICIAN) |
| Authorized Official Contact | 6106446251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Valley Neurological Associates Llc 11 Industrial Blvd Suite 204 Paoli PA 19301-1632 Ph: (610) 644-6251 | Great Valley Neurological Associates Llc 11 Industrial Blvd Suite 204 Paoli PA 19301-1632 Ph: (610) 644-6251 |
| NPI Number | 1295902823 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Medicare PECOS PAC ID | 1355412636 |
|---|---|
| Medicare Enrollment ID | O20080613000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295902823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Thomas H Graham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508860990 PECOS PAC ID: 9638065857 Enrollment ID: I20040225000356 |
| Provider Name | Craig Joseph Gardner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053345934 PECOS PAC ID: 4183633233 Enrollment ID: I20060418000567 |
| Provider Name | Lauren Flynn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538310198 PECOS PAC ID: 8325327158 Enrollment ID: I20161117001587 |
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