Organization
PAIN SPECIALISTS OF CHARLESTON
Active
Parent organization
PAIN SPECIALISTS OF CHARLESTON
Other names
Pain Specialists of Columbia
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAIN SPECIALISTS OF CHARLESTON
Authorized official
DR. EDWARD MARION TAVEL MD (PRESIDENT)
(843) 818-1181
Entity
Organization
Contact information
Practice address
15 MONCKTON BLVD, COLUMBIA, SC 29206-4700
(803) 252-4900
Mailing address
2695 ELMS PLANTATION BLVD, SUITE A, NORTH CHARLESTON, SC 29406-7132
(843) 818-1181
(843) 818-1145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166262
—
SC
Enumeration date
04/22/2016
Last updated
08/11/2021
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