# CAROLINA PAIN MANAGEMENT CENTER

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

## Provider details

- **NPI number:** 1851566186
- **Authorized official:** DR. WILLIAM E DURRETT JR. M.D. (PRESIDENT)
- **Authorized official phone:** (803) 642-5050

## Contact information

- **Practice address:** 4211 TROLLEY LINE RD, AIKEN, SC 29801-2749
- **Practice address phone:** (803) 642-5050
- **Mailing address:** PO BOX 2603, AIKEN, SC 29802-2603
- **Mailing address phone:** (803) 642-5050
- **Mailing address fax:** (803) 642-3369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 14324 | SC | Yes |

## Other

- **Enumeration date:** 04/28/2008
- **Last updated:** 04/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 143240 | — | SC |