Organization
TRIDENT PAIN CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH EDWARD NOLAN MD (MEDICAL DIRECTOR)
(843) 797-3636
Entity
Organization
Contact information
Practice address
1341 OLD GEORGETOWN RD, MT PLEASANT, SC 29464-7307
(843) 797-3636
(843) 797-3637
Mailing address
9267 MEDICAL PLAZA DR STE G, 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
10/17/2014
Last updated
10/17/2014
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