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Contact Information

TRIDENT PAIN CENTER LLC
9267 MEDICAL PLAZA DR STE G
NORTH CHARLESTON, SC29406-9139
 Phone: 843-797-3636
 Fax: 843-797-3637
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for TRIDENT PAIN CENTER LLC · (Female)

NPI Number 1801992961
Status Active
Credentials
Entity Individual
Enumeration date 09/16/2006
Last updated 03/02/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers
  • SC Other 080192298 RAILROAD MEDICARE
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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