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Organization
LORIS ANESTHESIA AND PAIN TREATMENT, PLLC
Active
Organization
LORIS ANESTHESIA AND PAIN TREATMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN HOLTZCLAW (OWNER)
(954) 475-1300
Entity
Organization
Contact information
Practice address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7000
Mailing address
PO BOX 602437, CHARLOTTE, NC 28260-2437
(800) 329-9156
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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