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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

NPI Number 1629460381
LBN Legal business name ATLANTIC COAST PAIN SPECIALISTS, INC
Authorized official RICHARD KLINE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/04/2015
Last updated 04/20/2022 - About 4 years ago
Identifiers
SC License # 20364
SC Medicaid 203648
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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