Organization
CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
Y EUGENE MIRONER DO (MANAGING PARTNER)
(864) 583-0053
Entity
Organization
Contact information
Practice address
10 ENTERPRISE BLVD STE 201, GREENVILLE, SC 29615-3554
(864) 295-9609
(864) 295-2337
Mailing address
PO BOX 6130, SPARTANBURG, SC 29304-6130
(864) 583-0053
(864) 583-0390
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
184375
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2967
—
SC
Enumeration date
01/11/2010
Last updated
01/10/2020
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