South Carolina Interventional Pain - D, LLC
Pain Medicine, Interventional Pain Medicine in Myrtle Beach, SC. Organization (NPI-2).
NPI number1104791995
StatusActive
Last updated in NPPESOct 9, 2025
Details
- NPI
- 1104791995
- Entity type
- Organization (NPI-2)
- Legal business name
- South Carolina Interventional Pain - D, LLC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2025
- Certification date
- Oct 9, 2025
- Last updated
- Oct 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Practice location
199 Village Center Blvd Ste 120Myrtle Beach, SC 29579-3589
Phone 770-962-3642 · Fax 770-962-3643
Mailing address
455 Philip Blvd Ste 140Lawrenceville, GA 30046-8768
Phone 770-962-3642 · Fax 770-962-3643
Authorized official
Amit Patel
Ceo
7709623642
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