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C C NEUROLOGY LLC
NPI 1750158374
Psychiatry & Neurology - Neurology in Waldorf, MD

Active since December 04, 2023
11637 TERRACE DR STE 100, WALDORF, MD 20602(301) 870-7287 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About C C Neurology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

C C NEUROLOGY LLC (NPI 1750158374) is a healthcare organization registered as a neurology in Waldorf, Maryland and active in the NPI registry since December 2023. The organization lists Roche Watson, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1750158374
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameC C NEUROLOGY LLC
Location Address11637 TERRACE DR STE 100Waldorf, MD 20602-3707
Mailing Address11637 Terrace Dr Ste 100Waldorf, MD 20602-3707
Phone(301) 870-7287
Organization SubpartNo
Authorized OfficialRoche WatsonPractice Owner · (301) 870-7287
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
✔ NPI 1750158374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
11637 TERRACE DR STE 100, Waldorf, MD 20602
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. HEATHER LEIGH PRIDGEN POWELL PA-C
Physician Assistant
11637 TERRACE DR STE 100
WALDORF, MD 20602
Charles County (301) 870-7287
ALLY INFUSION, LLC
Psychiatry & Neurology (Neurology)
11637 TERRACE DR STE 100
WALDORF, MD 20602
Charles County (301) 870-7287

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is C C Neurology LLC's NPI number?

The NPI number for C C Neurology LLC is 1750158374. It was assigned to this organization in the NPPES registry on December 4, 2023.

Where is C C Neurology LLC located?

C C Neurology LLC is located at 11637 Terrace Dr Ste 100, Waldorf, MD 20602. The listed phone number is (301) 870-7287.

What is C C Neurology LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for C C Neurology LLC was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.