# TRIDENT PAIN CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRIDENT PAIN CENTER LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154757482
- **Legal business name:** TRIDENT PAIN CENTER LLC
- **Authorized official:** DR. JOSEPH EDWARD NOLAN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (843) 797-3636

## Contact information

- **Practice address:** 108 N HIGHWAY 52, MONCKS CORNER, SC 29461-3910
- **Practice address phone:** (843) 797-3636
- **Practice address fax:** (843) 797-3637
- **Mailing address:** 9267 MEDICAL PLAZA DR STE G, N CHARLESTON, SC 29406-9139
- **Mailing address phone:** (843) 797-3636
- **Mailing address fax:** (843) 797-3637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2013
- **Last updated:** 03/18/2024