LAKE RIDGE NEUROLOGICAL

SENECA, SC
NPI1063486363
Entity TypeOrganization
Authorized ContactORLANDO ARTHUR RICALDE
President
864-885-9866
Organization Subpart ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
Enumeration Date2006-02-14
Last Update Date2007-10-10
Business Address
LAKE RIDGE NEUROLOGICAL
SUITE B 103 OMNI DRIVE
SENECA, SC 29672-9448
Phone number: 864-885-9866
Mailing Address
LAKE RIDGE NEUROLOGICAL
SUITE B 103 OMNI DRIVE
SENECA, SC 29672-9448
Phone number: 864-885-9866
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