Organization
LOW COUNTRY PAIN & SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN GEORGE CAMERANSI JR. MD (MEDICAL DIRECTOR/OWNER)
(912) 321-9112
Entity
Organization
Contact information
Practice address
9180 OCEAN HWY UNIT 6, PAWLEYS ISLAND, SC 29585-8670
(912) 321-9112
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(843) 651-2624
(843) 491-4023
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21121
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
21121
SC
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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