Provider Demographics
NPI:1578532925
Name:ABSHER NEUROLOGY PA
Entity Type:Organization
Organization Name:ABSHER NEUROLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ABSHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-286-8222
Mailing Address - Street 1:155 HALTON RD STE B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3507
Mailing Address - Country:US
Mailing Address - Phone:864-286-8222
Mailing Address - Fax:864-286-3356
Practice Address - Street 1:155 HALTON RD STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3507
Practice Address - Country:US
Practice Address - Phone:864-286-8222
Practice Address - Fax:864-286-3356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC211162084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCJ9810OtherRAILROAD MEDICARE
SCE42093Medicare UPIN
SCCJ9810OtherRAILROAD MEDICARE