Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 36556 | SC |
N | 2084N0400X | Neurologist | 56447 | TN |
N | 2084N0400X | Neurologist | ME81147 | FL |
Y | 2084V0102X | Vascular Neurology | 36556 | SC |
NPI | 1033179858 |
---|---|
Provider Name | Dr. Gregory J Sengstock |
First Address | North Augusta, SC 29841-5474 |
Second Address | North Augusta, SC 29841-5474 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 17/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
269960500 | (05) | FL |
H83230 | (02) | FL |
P00647296 | RAILROAD MEDICARE (01) | FL |