# TRIDENT PAIN CENTER

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

## Provider details

- **NPI number:** 1942086582
- **Authorized official:** JANET AGEE (BILLING MANAGER)
- **Authorized official phone:** (843) 797-3636

## Contact information

- **Practice address:** 9267 MEDICAL PLAZA DR STE G, N CHARLESTON, SC 29406-9139
- **Practice address phone:** (843) 797-3636
- **Mailing address:** 9267 MEDICAL PLAZA DR STE G, N CHARLESTON, SC 29406-9139
- **Mailing address phone:** (843) 797-3636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2023
- **Last updated:** 09/07/2023