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Contact Information

SC PAIN AND SPINE SPECIALIST
230 S FRASER STREET
GEORGETOWN, SC29440
 Phone: 843-461-4735
 Fax: 843-839-7323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for SC PAIN AND SPINE SPECIALIST

NPI Number 1538557780
LBN Legal business name SC PAIN AND SPINE SPECIALIST
Authorized official JASON ROSENBERG - (MEMBER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/22/2014
Last updated 01/20/2015 - About 11 years ago
Identifiers
SC License # 24751
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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