COMPREHENSIVE NEUROLOGICAL SERVICES PC (NPI# 1568414555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568414555 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE NEUROLOGICAL SERVICES PC |
| Practice Address |
436 W Palmetto Street Florence SC 29501 |
| Mailing Address |
Po Box 7124 Florence SC 29502-7124 |
| Practice Telephone | 8436692007 |
| Practice Fax Number | 8436696677 |
| Mailing Telephone | 8436692007 |
| Mailing Fax Number | 8436696677 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WALTER JAMES EVANS (DOCTOR) |
| Authorized Official Telephone | 8436692007 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
18276 | SC | Allopathic & Osteopathic Physicians |
| X | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
22902 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CCP | 0503617 | 01 |
| SC | GP3382 | 05 | |
| SC | T22981 | 05 | |
| SC | T71749 | 05 |
| Street Address |
436 W PALMETTO STREET |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285708966 | Florence Neurological Clinic, Pa | Psychiatry & Neurology | 1929 Mountain Laurel Ct, Suite B, Florence, SC 29505-6053 | 2006-11-17 |
| 1538253075 | Dina Riyad Jannun | Psychiatry & Neurology | 426 E Dr Hicks Blvd, Florence, AL 35630-5763 | 2006-10-02 |
| 1457457806 | Tennessee Valley Neurology, PC | Psychiatry & Neurology | 2407 Helton Dr, Florence, AL 35630-1067 | 2006-09-15 |
| 1922034370 | Vascular Diagnostics LLC | Psychiatry & Neurology | 500 Pamplico Hwy, Suite G, Florence, SC 29505-6051 | 2006-06-25 |
| 1942605787 | Mcleod Physician Associates II | Psychiatry & Neurology | 800 E Cheves St, Suite 200, Florence, SC 29506-2650 | 2014-10-22 |
| 1942598909 | Eunice C Abrams | Psychiatry & Neurology | 555 E Cheves St, Florence, SC 29506-2617 | 2011-07-12 |
| 1174852396 | Mcleod Physician Associates II | Psychiatry & Neurology | 800 E Cheves St, Suite 380, Florence, SC 29506-2650 | 2009-12-17 |
| 1366631640 | Robert Joseph Healy Md Pa | Psychiatry & Neurology | 805 Pamplico Hwy, Suite A130, Florence, SC 29505-6019 | 2007-10-23 |
| 1790970499 | Florence Alabama Neurology Clinic, Inc | Psychiatry & Neurology | 2407 Helton Dr, Florence, AL 35630-1067 | 2007-09-06 |
| 1417156886 | Elijah D Owens | Psychiatry & Neurology | 1594 Freedom Blvd, Suite 305, Florence, SC 29505-6046 | 2007-07-16 |
| Find all providers in FLORENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.