Organization

Comprehensive Neurological Services Pc

Legal Business Name

Comprehensive Neurological Services Pc

NPI Number

1568414555

NPI Type

Organization

Enumeration Date

05/17/2006

Specialties

(Taxonomies)

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

Provider Address