# AIKEN NEUROSCIENCES AND PAIN MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275932733
- **Authorized official:** MRS. AMANDA JUSTINIANO (MANAGER)
- **Authorized official phone:** (803) 642-6501

## Contact information

- **Practice address:** 5110 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3814
- **Practice address phone:** (843) 651-2624
- **Practice address fax:** (843) 491-4023
- **Mailing address:** 5110 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3814
- **Mailing address phone:** (843) 651-2624
- **Mailing address fax:** (843) 491-4023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | SC | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 2084N0400X | Neurology Physician | — | SC | — |

## Other

- **Enumeration date:** 08/20/2014
- **Last updated:** 10/23/2024