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Contact Information

SC PAIN & SPINE SPECIALISTS, LLC
812 FARRAR DR
SUITE - B
CONWAY, SC29526-8747
 Phone: 843-839-7246
 Fax: 843-839-7323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SC PAIN SPINE SPECIALISTS LLC · (Female)

NPI Number 1134544570
Status Active
Credentials
Entity Individual
Enumeration date 02/21/2014
Last updated 03/05/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 24751
  • SC Medicaid GP5802
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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