Richard M Pavelock in Statesville - Neurodevelopmental Disabilities
Richard M Pavelock - NPI 1487739579
Richard M Pavelock is a Neurodevelopmental Disabilities in Statesville, North Carolina. Richard M Pavelock practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Richard M Pavelock is 1487739579. The last update date is 2017-04-19.
Richard M Pavelock's current location address is 2632 Fines Creek Dr, Statesville, North Carolina. You can contact this provider via phone number 7048380516 and fax number 7048380565. The mailing address for Richard M Pavelock is 2632 Fines Creek Dr, Statesville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard M Pavelock |
|---|---|
| Address | 2632 Fines Creek Dr, Statesville, North Carolina |
| Phone Number | 7048380516 |
| Fax Number | 7048380565 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487739579 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2017-04-19 |
Provider Mailing Address Detail
| Address | 2632 Fines Creek Dr |
|---|---|
| City | Statesville |
| State | North Carolina (NC) |
| Post Code | 286254441 |
| Phone Number | 7048380516 |
| Fax Number | 7048380565 |
Provider's Primary Taxonomy Detail
| Speciality | Neurodevelopmental Disabilities |
|---|---|
| Taxonomy | 2084P0005X |
| Licence No | 39460 |
|
Definition: A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 66248 | NC | BCBS OF NC | |
| 8966248 | NC | -- | |
| P00219696 | NC | RAILROAD MEDICARE |
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What is the Richard M Pavelock's 1487739579?
The Richard M Pavelock's NPI (National Provider Identifier) Number is 1487739579. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Richard M Pavelock located?
The Richard M Pavelock is located at 2632 Fines Creek Dr, Statesville, NC 286254441.
What is the Richard M Pavelock's specialty and taxonomy code?
The Richard M Pavelock's specialty is Neurodevelopmental Disabilities, and the corresponding taxonomy code is 2084P0005X.
When did the Richard M Pavelock receive its 1487739579?
The Richard M Pavelock was issued its 1487739579 on 2006-10-26, which is the date when the organization was assigned this unique identifier.
When was the Richard M Pavelock's information last updated?
The Richard M Pavelock's information was last updated on 2017-04-19.