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NPI Code Detail

MEDICARE: ADDISON NEIGHBORS

MEDICARE:   ADDISON  NEIGHBORS
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
12084N0400XNeurology PhysicianMD.53724AL
22084N0400XNeurology PhysicianLL87816SC

General Provider Information

NPI Number : 1174263081
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADDISON NEIGHBORS
Provider Business Mailing Address
First Line : 1720 7TH AVE SOUTH
Second Line : SC 613
City : BIRMINGHAM
State : AL
Zip : 35294-0110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5 RICHLAND MEDICAL PARK DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6863
Country : US
Telephone Number : 803-434-1895
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2022
Last Update Date : 06/08/2026

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Directions to “ ADDISON NEIGHBORS ” Practice Location

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