Organization · Type 2 NPI

Self Regional Healthcare

Neurological Surgery Physician · Greenwood, SC

NPI number 1538036314 Active

Practice location

115 Academy Ave
Greenwood, SC 29646-3869

Call (864) 725-7272 Map

Fax (864) 725-5799

Mailing address

104 Wells Ave
Greenwood, SC 29646-3837

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Neurocritical Care Physician 2084A2900XNone listed
Neurology Physician 2084N0400XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Nurse Practitioner 363L00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1538036314

Self Regional Healthcare's National Provider Identifier is 1538036314, issued on Oct 17, 2025. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Greenwood, SC. The record was last updated on May 15, 2026.