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PAIN MANAGEMENT ASSOCIATES NPI 1346504792


NPI Information

NPI: 1346504792
Provider Name: PAIN MANAGEMENT ASSOCIATES
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 42D2158248

Address:
105 VINECREST CT
SUITE 605
GREENWOOD, SC
ZIP 29646
Phone: (864) 953-9885
Get Directions

PAIN MANAGEMENT ASSOCIATES is an interventional pain medicine pain medicine in Greenwood, 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. PAIN MANAGEMENT ASSOCIATES NPI is 1346504792. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

105 VINECREST CT
SUITE 605
GREENWOOD, SC
ZIP 29646-031
Phone: (864) 953-9885
Fax: (863) 953-9883

The provider's authorized official is Daniel A. Mccollum .
The authorized official title is President and has the following contact phone number (864) 855-1633.

The CLIA number assigned to this NPI record is 42D2158248 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2012 and was last updated on 6/30/2012.


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
1207X00000XOrthopaedic SurgeryNo
22084N0400XPsychiatry & NeurologyNeurologyNo
3208VP0014XPain 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
16089MEDICARE PIN
2GP2763MEDICAIDSOUTH 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: 4/28/2024

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