Organization
TRIDENT PAIN CENTER LLC
Active
Parent organization
TRIDENT PAIN CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIDENT PAIN CENTER LLC
Authorized official
DR. JOSEPH EDWARD NOLAN MD (MEDICAL DIRECTOR)
(843) 797-3636
Entity
Organization
Contact information
Practice address
108 N HIGHWAY 52, MONCKS CORNER, SC 29461-3910
(843) 797-3636
(843) 797-3637
Mailing address
9267 MEDICAL PLAZA DR STE G, N CHARLESTON, SC 29406-9139
(843) 797-3636
(843) 797-3637
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3479
—
SC
Enumeration date
09/18/2013
Last updated
03/18/2024
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