Pain Management, Llc

NPI 1104914076

Information of Pain Management, Llc

The NPI 1104914076 is an Organization type. NPI No 1104914076 belongs to Pain Management, Llc. Pain Management, Llc specializes in Interventional Pain Medicine. is practising at 1092 Johnnie Dodds Blvd, Mt Pleasant, South Carolina 29464. You can also contact him via phone number (843) 388-6552.

Practice address located

  • 1092 Johnnie Dodds Blvd
  • Mt Pleasant, South Carolina 29464
  • (843) 388-6552
  • (843) 388-6552

Mailling address located

  • Po Box 2344
  • Columbia, South Carolina 29202
  • (803) 254-2394
  • (803) 254-7125
NPI No 1104914076
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes208VP0014XInterventional Pain Medicinen/an/a
Identifier for this provider
StateIdentifierTypeIssuer
SC6943Medicare ID-Type Unspecifiedn/a
SCCH8246OtherRR MEDICARE
SCGP3033OtherSELECT HEALTH
SCGP3033Medicaidn/a
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