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Paul Mitchell Pain Management, P.A.

Specialist in Hilton Head Island, SC. Organization (NPI-2).

NPI number1669864948
StatusActive
Last updated in NPPESApr 3, 2015

Details

NPI
1669864948
Entity type
Organization (NPI-2)
Legal business name
Paul Mitchell Pain Management, P.A.
Organization subpart
No
Enumeration date
Feb 24, 2015
Last updated
Apr 3, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist00666SCYes

Practice location

15 Moss Creek Vlg
Hilton Head Island, SC 29926-1105

Phone 843-415-8511 · Fax 800-820-0148

Mailing address

15 Moss Creek Vlg
Hilton Head Island, SC 29926-1105

Phone 843-415-8511 · Fax 800-820-0148

Authorized official

Paul Raymond Mitchell
Owner/Physician
8434158511

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