| Hartsville Neurology Center | |
|
701 Medical Park Dr Suite 108 Hartsville SC 29550-4777 | |
| (843) 332-9758 | |
| (843) 383-4243 |
| Full Name | Hartsville Neurology Center |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 701 Medical Park Dr, Hartsville, South Carolina |
| Authorized Official Name and Position | Dinesh S. Pai (VP OF OPERATIONS) |
| Authorized Official Contact | 7043849104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartsville Neurology Center Po Box 60447 Charlotte NC 28260-0447 Ph: (843) 332-9758 | Hartsville Neurology Center 701 Medical Park Dr Suite 108 Hartsville SC 29550-4777 Ph: (843) 332-9758 |
| NPI Number | 1508021049 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 03/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508021049 | NPI | - | NPPES |
| GP4941 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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