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Contact Information

PIEDMONT COMPREHENSIVE PAIN MANAGEMENT GROUP LLC
100 HEALTHY WAY
SUITE 1260
ANDERSON, SC29621
 Phone: 864-225-3551
 Fax: 864-328-0328
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for PIEDMONT COMPREHENSIVE PAIN MANAGEMENT GROUP LLC · (Female)

NPI # 1609815562
Status Active
Credentials
Entity Individual
Enumeration date 06/06/2006
Last updated 07/30/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 19467
  • SC License # 19980
  • SC License # 20828
  • SC License # 28639
  • SC Medicaid GP2340
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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