Organization
CAROLINA INTERVENTIONAL PAIN ASSOCIATES, P.A
Active
Other names
Pain Medicine Specialist, INTERVENTIONAL PAIN PARTNERS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GISELE JACQUELINE GIRAULT MD (PRESIDENT)
(803) 802-7100
Entity
Organization
Contact information
Practice address
342 PATRICIA LANE, SUITE 102, FORT MILL, SC 29708
(803) 802-7100
(803) 791-9200
Mailing address
1750 HIGHWAY 160 WEST, SUITE 1010-319, FORT MILL, SC 29708
(803) 802-7100
(803) 791-9200
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3866
—
SC
05
—
GP4369
—
SC
Enumeration date
07/11/2006
Last updated
06/22/2020
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