OrganizationActive
Neuroshield Network Se LLC
NPI 1770084063 · Clinical Neurophysiology Physician · West Columbia, SC
Provider details
- NPI number
- 1770084063
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carey Powell, Billing Director Se(888) 329-0807
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1304 Sunset Blvd
West Columbia, SC 29169-5914
Phone: (888) 329-0807
Approximate (ZIP-level) locationGet directions
Mailing address
1304 Sunset Blvd
West Columbia, SC 29169-5914
Registry dates
- Enumerated
- 2018-02-22
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.