Comprehensive Neurological Services Pc

LBN: Comprehensive Neurological Services Pc
Comprehensive Neurological Services Pc is an health care organization with primary practice located at 436 W Palmetto Street , Florence SC 29501. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Comprehensive Neurological Services Pc can be contacted via phone (843) 669-2007, or through Evans, Walter James via phone (843) 669-2007.

Contact Information

Primary practice address
436 W Palmetto Street Florence SC 29501
Fax: (843) 669-6677
Website:
Authorized official contact:
Name: Evans, Walter James Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 18276 South Carolina
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 22902 South Carolina

Profile Details

NPI number 1568414555
LBN Legal business name Comprehensive Neurological Services Pc
DBA Doing business as
Authorized official Evans, Walter James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568414555 NPPES
South Carolina Other 0503617 CCP
South Carolina MEDICAID T22981 CCP
South Carolina MEDICAID T71749 CCP
South Carolina MEDICAID GP3382 CCP

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