# TRIDENT ANESTHESIA GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pain Care Physicians of Charleston, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952597551
- **Authorized official:** DR. RICHARD L FISHMAN M.D. (PARTNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (843) 414-1224

## Contact information

- **Practice address:** 9263 MEDICAL PLAZA DR, STE B, CHARLESTON, SC 29406-7112
- **Practice address phone:** (843) 414-1224
- **Practice address fax:** (843) 414-1226
- **Mailing address:** 9263 MEDICAL PLAZA DR, SUITE E, CHARLESTON, SC 29406-7112
- **Mailing address phone:** (843) 414-1224
- **Mailing address fax:** (843) 414-1226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 07/19/2012