Provider Demographics
NPI:1467581512
Name:CUMBERLAND NEUROLOGY, P.A.
Entity Type:Organization
Organization Name:CUMBERLAND NEUROLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:SZWEJBKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-323-0179
Mailing Address - Street 1:4140 FERNCREEK DR STE 401
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-2567
Mailing Address - Country:US
Mailing Address - Phone:910-323-0179
Mailing Address - Fax:910-323-4295
Practice Address - Street 1:4140 FERNCREEK DR STE 401
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-2567
Practice Address - Country:US
Practice Address - Phone:910-323-0179
Practice Address - Fax:910-323-4295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2004007592084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5903113Medicaid
2333632Medicare PIN
I20054Medicare UPIN