# COMMONWEALTH PAIN ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1740091537
- **Authorized official:** JASON CARNES LEWIS (OWNER)
- **Authorized official phone:** (502) 855-3919

## Contact information

- **Practice address:** 10 ENTERPRISE BLVD STE 201, GREENVILLE, SC 29615-3554
- **Practice address phone:** (864) 295-6399
- **Practice address fax:** (864) 295-2337
- **Mailing address:** PO BOX 21890, BELFAST, ME 04915-4115
- **Mailing address phone:** (502) 907-0356
- **Mailing address fax:** (502) 919-9780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 01/20/2025
- **Last updated:** 01/20/2025