Comprehensive Neurological Services Pc
Legal Business Name
Comprehensive Neurological Services Pc
NPI Number
1568414555
NPI Type
Organization
Enumeration Date
05/17/2006
Specialties
(Taxonomies)Code
2084N0400X
2084N0402X
Primary Taxonomy
No
No
Licenses
State
South Carolina
South Carolina
License Number
18276
22902
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 7124
436 W PALMETTO STREET
City
Florence
Florence
State
SC
SC
Postal Code
29502-7124
29501
Country
US
US
Telephone Number
(843) 669-2007
(843) 669-2007
Authorized Official
Name
Walter Evans
Title or Position
DOCTOR
Telephone Number
(843) 669-2007
Identifiers
Identifier
0503617
T22981
T71749
GP3382
Identifier State
SC
SC
SC
SC
Identifier Issuer
CCP
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020