NPI 1699766436 · live from the CMS NPI Registry
Clemson Neurology
Psychiatry & Neurology, Neurology in Clemson, SC. National Provider Identifier 1699766436, active.
NPI record
| NPI | 1699766436 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 220 Keowee Trl, Clemson, SC 29631 |
| Practice phone | 864-653-4071 |
| Enumerated | November 1, 2005 |
| Last updated | April 20, 2008 |
| Authorized official | Rebecca Clark, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.