# CAROLINA INTERVENTIONAL PAIN ASSOCIATES, P.A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pain Medicine Specialist, INTERVENTIONAL PAIN PARTNERS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275568149
- **Authorized official:** DR. GISELE JACQUELINE GIRAULT MD (PRESIDENT)
- **Authorized official phone:** (803) 802-7100

## Contact information

- **Practice address:** 342 PATRICIA LANE, SUITE 102, FORT MILL, SC 29708
- **Practice address phone:** (803) 802-7100
- **Practice address fax:** (803) 791-9200
- **Mailing address:** 1750 HIGHWAY 160 WEST, SUITE 1010-319, FORT MILL, SC 29708
- **Mailing address phone:** (803) 802-7100
- **Mailing address fax:** (803) 791-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 06/22/2020