MEDICARE: NEUROLOGY ASSOCIATES, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	29620	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083722482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGY ASSOCIATES, PA

Provider Business Mailing Address
First Line	:	1985 TATE BLVD SE
Second Line	:	SUITE 600
City	:	HICKORY
State	:	NC
Zip	:	28602-1433
Country	:	US
Telephone Number	:	828-328-5500
Fax Number	:	828-485-2517

Provider Business Practice Location Address
First Line	:	1985 TATE BLVD SE
Second Line	:	SUITE 600
City	:	HICKORY
State	:	NC
Zip	:	28602-1433
Country	:	US
Telephone Number	:	828-328-5500
Fax Number	:	828-485-2517

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	AMANDA HUFFMAN
Credential	:
Telephone Number	:	828-485-2510

Provider Enumeration Date	:	08/26/2006
Last Update Date	:	03/20/2008

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Directions to “NEUROLOGY ASSOCIATES, PA ” Practice Location

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