Organization
SC PAIN & SPINE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON CHARLES ROSENBERG MD (MEMBER)
(843) 839-7246
Entity
Organization
Contact information
Practice address
812 FARRAR DR, SUITE - B, CONWAY, SC 29526-8747
(843) 839-7246
(843) 839-7323
Mailing address
PO BOX 4057, PAWLEYS ISLAND, SC 29585-4057
(843) 839-7246
(843) 839-7323
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
24751
SC
208VP0014X
Interventional Pain Medicine Physician
Primary
24751
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5802
—
SC
Enumeration date
02/21/2014
Last updated
03/05/2024
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