Healthcare Provider Details

I. General information

NPI: 1730510678
Provider Name (Legal Business Name): NETWORK NEUROLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2013
Last Update Date: 01/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 SAVAGE RD STE 100E
CHARLESTON SC
29407-4704
US

IV. Provider business mailing address

1941 SAVAGE RD STE 100-E
CHARLESTON SC
29407-4704
US

V. Phone/Fax

Practice location:
  • Phone: 843-735-5920
  • Fax: 843-735-5931
Mailing address:
  • Phone: 843-735-5920
  • Fax: 843-735-5931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0005X
TaxonomyNeurodevelopmental Disabilities Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT P TURNER
Title or Position: OWNER
Credential: MD
Phone: 843-735-5920