Brain Restoration Clinic, Pllc is a Child Neurology Clinic in Indian Land, South Carolina. It is located at 1040 Edgewater Corp Pkwy, Suite 106, Indian Land, SC and its contact number is 704-541-9117. The authorized person for Brain Restoration Clinic, Pllc is Dr. Jean-ronel Corbier
who is Owner of the clinic and his/her contact number is 704-541-9117. The primary license number for Brain Restoration Clinic, Pllc is 200601910 (Neurology with Special Qualifications in Child Neurology) in North Carolina. Brain Restoration Clinic, Pllc Clinic specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Complete Clinic Profile:
Brain Restoration Clinic, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Brain Restoration Clinic, Pllc
Specialization:
Child Neurology
Clinic Address:
1040 Edgewater Corp Pkwy, Suite 106, Indian Land, South Carolina, 29707-4514
Phone:
704-541-9117
Fax:
704-541-9137
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jean-ronel Corbier
Position:
Owner
Contact Number:
704-541-9117
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Brain Restoration Clinic, Pllc clinic are as mentioned below.
NPI Number:
1871912667
NPI Enumeration Date:
09 Apr, 2014
NPI Last Update On:
05 Aug, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brain Restoration Clinic, Pllc are as mentioned below.
Specialization
License Number
State
Status
Neurology with Special Qualifications in Child Neurology
200601910
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5905648
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Brain Restoration Clinic, Pllc 1040 Edgewater Corp Pkwy, Suite 106 Indian Land, South Carolina
Zip:
29707-4514
Phone Number:
704-541-9117
Fax Number:
704-541-9137
Patients can reach Brain Restoration Clinic, Pllc at 1040 Edgewater Corp Pkwy, Suite 106, Indian Land, South Carolina or can call to book an appointment on 704-541-9117. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.