Individual provider · Type 1 NPI

Gonzalo Javier Revuelta, DO

Neurology Physician · Charleston, SC

NPI number 1457520520 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-0100

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X1400 (SC)
Neurology Physician 2084N0400XOT010760 (PA)
Neurology Physician 2084N0400X060598 (GA)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1457520520

Gonzalo Javier Revuelta, DO's National Provider Identifier is 1457520520, issued on Feb 22, 2008. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Charleston, SC. The record was last updated on Jun 10, 2010.