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Organization

CAROLINA PAIN SCRAMBLER CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRAN M LONG (OWNER/DIRECTING MANAGER)
(864) 520-5011
Entity
Organization

Contact information

Practice address
103 S VENTURE DR, GREENVILLE, SC 29615-3571
(864) 520-5011
(864) 520-5011
Mailing address
103 S VENTURE DR, GREENVILLE, SC 29615-3571
(864) 520-5011
(864) 520-5011

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
09/25/2018
Last updated
09/25/2018
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