Individual provider · Type 1 NPI

Fredy Jesus Revilla, MD

Neurology Physician · Greenville, SC

NPI number 1760418610 Active

Practice location

200 Patewood Dr Ste B350
Greenville, SC 29615-6337

Call (864) 454-4500 Map

Fax (864) 454-4505

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X35083417 (OH)
Neurology Physician Primary 2084N0400X37641 (SC)

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 1760418610

Fredy Jesus Revilla, MD's National Provider Identifier is 1760418610, issued on Jun 23, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Greenville, SC. The record was last updated on Jun 29, 2021.