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Palmetto Pain Center Pa
Specialist in Beaufort, South Carolina
NPI 1275618332

Palmetto Pain Center Pa is a Specialist based in Beaufort, SC. Palmetto Pain Center Pa practices in Beaufort, SC. The NPI Number for Palmetto Pain Center Pa is 1275618332 and holds a License No. 33094 (South Carolina).

The current practice location address for Palmetto Pain Center Pa is 41 Marshellen Dr, Beaufort, SC and can be reached out via phone at 843-522-3456 and via fax at 843-522-8263.

Location: 41 Marshellen Dr, Beaufort, SC, 29902-6900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275618332
Provider Name
Palmetto Pain Center Pa
Credential
Provider Entity Type
Organization
Address
41 Marshellen Dr, Beaufort, SC, 29902-6900
Phone Number
843-522-3456
Fax Number
843-522-8263
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1205888765 01 NPI
33094 01 SPECIALTY NUMBER
$$$$$$$$$ 01 SOCIAL SECURITY NUMBER
GP0036 05 SC
21483 01 SC STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
41 Marshellen Dr
City
Beaufort
State
South Carolina
Zip
29902-6900
Phone Number
843-522-3456
Fax Number
843-522-8263
person
Provider Business Mailing Address Details
Address
41 Marshellen Dr
City
Beaufort
State
South Carolina
Zip
29902-6900
Phone Number
843-522-3456
Fax Number
843-522-8263
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
33094 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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