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CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN PA NPI 1750304002


NPI Information

NPI: 1750304002
Provider Name: CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, PA

Other Name: CCAMP CAROLINA PAIN CENTER

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
279 E KENNEDY ST
SPARTANBURG, SC
ZIP 29302
Phone: (864) 583-0053
Get Directions

CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, PA is an interventional pain medicine pain medicine in Spartanburg, SC. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, PA NPI is 1750304002. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ccamp Carolina Pain Center.

The provider's business location address is:

279 E KENNEDY ST
SPARTANBURG, SC
ZIP 29302-912
Phone: (864) 583-0053
Fax: (864) 583-0390

The provider's authorized official is Janice N Cash .
The authorized official title is Practice Manager and has the following contact phone number (864) 583-0053.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 3/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalNo
22081P2900XPhysical Medicine & RehabilitationPain MedicineNo
3225100000XPhysical TherapistNo
4208VP0014XPain MedicineInterventional Pain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11180470003OTHERSOUTH CAROLINAPTAN
2GP2967MEDICAIDSOUTH CAROLINA
3GP1456MEDICAIDSOUTH CAROLINA
4013KEOTHERNORTH CAROLINABCBS
589013KEMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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