Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 2338 | SC |
N | 111NN0400X | Neurology | 2338 | SC |
NPI | 1164409595 |
---|---|
Provider Name | Dr. Abhay B. Patel |
First Address | Greenville, SC 29615-3300 |
Second Address | Greenville, SC 29615-3300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U87895 | (02) | SC |