Organization
TRIDENT PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET AGEE (BILLING MANAGER)
(843) 797-3636
Entity
Organization
Contact information
Practice address
176 MCSWAIN DR, WEST COLUMBIA, SC 29169-4825
(843) 797-3636
Mailing address
176 MCSWAIN DR, WEST COLUMBIA, SC 29169-4825
(843) 797-3636
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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