Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 39410 | SC |
NPI | 1003264193 |
---|---|
Provider Name | Eyad Almallouhi |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2016 |
Last Update Date | 01/11/2021 |