Southern Neurology, PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

14558 Issued in SC

Legal business name

SOUTHERN NEUROLOGY, PA

Practice address

23 Plantation Park Dr
BLDG 400 Box 402
Bluffton, SC 29910-6038

Phone

(843) 836-3667

Fax

(843) 836-3677

NPI assigned

Jun 24, 2009

Last updated

Jun 24, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George Watkins Warner Jr., MDNPI 1548245301

Title

President

Phone

(843) 836-3667

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George W Warner, MD

  • Neurology Physician
  • Bluffton, SC
  • NPI 1548245301
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1528296936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK DRIVE",
            "address_2": "BLDG 400 BOX 402",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109009",
            "telephone_number": "843-836-3667",
            "fax_number": "843-836-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK DR",
            "address_2": "BLDG 400 BOX 402",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106038",
            "telephone_number": "843-836-3667",
            "fax_number": "843-836-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WATKINS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-836-3667",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "14558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Foot & Ankle Center PC
• Southern MRI (Southern Imaging)
• Southern MRI LLC
• Southern Oak Dental Bluffton, LLC
• Southern Oak Dental, LLC
• Southern Sky Recovery
• Deiyonna Shandrika Speaks, MASSAGE THERAPIST
• Andrew Spencer

• Neurology Physician in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.