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PALMETTO PAIN MANAGEMENT LLC NPI 1861411738


NPI Information

NPI: 1861411738
Provider Name: PALMETTO PAIN MANAGEMENT LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
2611 FOREST DR STE 200
COLUMBIA, SC
ZIP 29204
Phone: (803) 779-3263
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PALMETTO PAIN MANAGEMENT LLC is an interventional pain medicine pain medicine in Columbia, 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. PALMETTO PAIN MANAGEMENT LLC NPI is 1861411738. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2611 FOREST DR STE 200
COLUMBIA, SC
ZIP 29204-371
Phone: (803) 779-3263
Fax: (803) 779-3207

The provider's authorized official is Ezra B Riber .
The authorized official title is Physician and has the following contact phone number (803) 779-3263.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 4/8/2024.


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
1208VP0014XPain 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
1138942MEDICAIDSOUTH 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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