Organization
COASTAL PAIN CARE
Active
Organization
COASTAL PAIN CARE
Active
Parent organization
COMPLETE MEDICAL PRACTICE MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPLETE MEDICAL PRACTICE MANAGEMENT
Authorized official
MR. DARIN WILLARD (MANAGING MEMBER)
(304) 553-3457
Entity
Organization
Contact information
Practice address
3203 HIGHWAY 9 E, SUITE B, LITTLE RIVER, SC 29566-8143
(843) 491-1480
Mailing address
3203 HIGHWAY 9 E, SUITE B, LITTLE RIVER, SC 29566-8143
(843) 491-1480
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2015
Last updated
08/10/2015
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