COASTAL PAIN CARE NPI 1245612035

NPI Information

NPI: 1245612035
Provider Name: COASTAL PAIN CARE
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
3203 HIGHWAY 9 E
SUITE B
LITTLE RIVER, SC
ZIP 29566
Phone: (843) 491-1480
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COASTAL PAIN CARE is a pain clinic center in Little River, SC. COASTAL PAIN CARE NPI is 1245612035. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3203 HIGHWAY 9 E
SUITE B
LITTLE RIVER, SC
ZIP 29566-143
Phone: (843) 491-1480

The provider's authorized official is Darin Willard .
The authorized official title is Managing Member and has the following contact phone number (304) 553-3457.

The enumeration date for this NPI number is 6/29/2015 and was last updated on 8/10/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	No
2	208VP0000X	Pain Medicine	Pain Medicine	No
3	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
4	261QH0100X	Clinic/Center	Health Service	No
5	261QP3300X	Clinic/Center	Pain	Yes

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: 5/5/2024

NPI Synchronization or Removal

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