IndividualActive
Austin Detavis
NPI 1952006603 · Neurology Physician · Greer, SC
Provider details
- NPI number
- 1952006603
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- LL89914 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
109 Physicians Dr
Greer, SC 29650-2446
Phone: (864) 797-8856
Approximate (ZIP-level) locationGet directions
Mailing address
109 Physicians Dr
Greer, SC 29650-2446
Registry dates
- Enumerated
- 2023-04-03
- Last updated
- 2023-07-12
- Certified
- 2023-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.