Organization
TRIDENT PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NOLAN MD (MEDICAL DIRECTOR)
(843) 797-3636
Entity
Organization
Contact information
Practice address
205 EDDIE CHASTEEN DR, WALTERBORO, SC 29488-5728
(843) 797-3636
Mailing address
9267 MEDICAL PLAZA DR STE G, NORTH CHARLESTON, SC 29406-9139
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
19839
SC
Other
Enumeration date
06/06/2014
Last updated
03/18/2024
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