# PAIN SPECIALISTS OF CHARLESTON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PAIN SPECIALISTS OF CHARLESTON
- **Other names:** Pain & Neurology Specialists of Charleston
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588318125
- **Legal business name:** PAIN SPECIALISTS OF CHARLESTON
- **Authorized official:** EDWARD TAVEL MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (843) 408-0386

## Contact information

- **Practice address:** 2675 ELMS PLANTATION BLVD, NORTH CHARLESTON, SC 29406-7119
- **Practice address phone:** (843) 408-0386
- **Mailing address:** 2695 ELMS PLANTATION BLVD STE A, NORTH CHARLESTON, SC 29406-7132
- **Mailing address phone:** (843) 818-1181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 02/11/2022
- **Last updated:** 02/11/2022