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Contact Information

ATLANTIC COAST PAIN SPECIALISTS, INC
2767 CULTRA RD
CONWAY, SC29526-3716
 Phone: 843-438-8470
 Fax: 843-438-8480
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Medical

363AM0700X 97 Physician Assistant
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ATLANTIC COAST PAIN SPECIALISTS INC · (Female)

NPI Number 1629460381
Status Active
Credentials
Entity Individual
Enumeration date 03/04/2015
Last updated 04/20/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 20364
  • SC Medicaid 203648
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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