Susan B Boutilier in Greenville - Neurology With Special Qualifications In Child Neurology
Susan B Boutilier - NPI 1558368936
Susan B Boutilier is a Neurology With Special Qualifications In Child Neurology in Greenville, North Carolina. Susan B Boutilier practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Susan B Boutilier is 1558368936. The last update date is 2020-12-03.
Susan B Boutilier's current location address is 2280 Hemby Ln, Greenville, North Carolina. You can contact this provider via phone number 2527449400 and fax number 2527449401. The mailing address for Susan B Boutilier is 2280 Hemby Ln, Greenville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan B Boutilier |
|---|---|
| Address | 2280 Hemby Ln, Greenville, North Carolina |
| Phone Number | 2527449400 |
| Fax Number | 2527449401 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558368936 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2020-12-03 |
Provider Mailing Address Detail
| Address | 2280 Hemby Ln |
|---|---|
| City | Greenville |
| State | North Carolina (NC) |
| Post Code | 2783437730 |
| Phone Number | 2527449400 |
| Fax Number | 2527449401 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology With Special Qualifications In Child Neurology |
|---|---|
| Taxonomy | 2084N0402X |
| Licence No | 9701256 |
|
Definition: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1558368936 | NC | -- | |
| 1122N | NC | BCBSNC | |
| 370011207 | NC | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Susan B Boutilier by the Centers for Medicare & Medicaid Services?
The Susan B Boutilier has been assigned the NPI (National Provider Identifier) 1558368936. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Susan B Boutilier is physically located?
The Susan B Boutilier is physically situated at the following address: 2280 Hemby Ln, Greenville, NC, 2783437730.
What is Susan B Boutilier's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan B Boutilier is Neurology With Special Qualifications In Child Neurology, and the taxonomy classification code that categorizes this area of expertise is 2084N0402X.
When did the Susan B Boutilier receive its 1558368936?
The Susan B Boutilier was issued its 1558368936 on 2005-06-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Susan B Boutilier last refreshed?
The information related to the Susan B Boutilier, including its address, specialty, and other relevant details, was last updated on 2020-12-03.