Dr. Brad Wesley Neville
Oral and Maxillofacial Pathology
173 Ashley Ave Room 544 Bsb, Division Of Oral Pathology, Musc
Charleston
, South Carolina 29425-5070
Dr. Brad Wesley Neville
Oral and Maxillofacial Pathology
173 Ashley Ave Room 544 Bsb, Division Of Oral Pathology, Musc
Charleston
, South Carolina 29425-5070
(843) 792-3697
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Brad Wesley Neville
- 173 Ashley Ave Room 544 Bsb, Division Of Oral Pathology, Musc
- Charleston, SC
- Zip : 29425-5070
- Fax : (843) 792-3697
- Phone : (843) 792-4495
Second Address
- Dr. Brad Wesley Neville
- 173 Ashley Ave Room 544 Bsb, Division Of Oral Pathology, Musc
- Charleston, SC
- Zip : 29425-5070
- Fax : (843) 792-3697
- Phone : (843) 792-4495
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 2375 | SC |
National Provider Identifier
| NPI | 1275614828 |
|---|---|
| Provider Name | Dr. Brad Wesley Neville |
| First Address | Charleston, SC 29425-5070 |
| Second Address | Charleston, SC 29425-5070 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2006 |
| Last Update Date | 03/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002375 | (05) | SC |
| T23698 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.