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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

NPI # 1609815562
LBN Legal business name PIEDMONT COMPREHENSIVE PAIN MANAGEMENT GROUP LLC
Authorized official GENNA LYNN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2006
Last updated 07/30/2018 - About 8 years ago
Identifiers
SC License # 19467
SC License # 19980
SC License # 20828
SC License # 28639
SC Medicaid GP2340
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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