Organization
CAROLINA PAIN PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY LAMAR OWENS JR. M.D. (OWNER)
(843) 737-0437
Entity
Organization
Contact information
Practice address
9404 HIGHWAY 78 SUITE 100, LADSON, SC 29456-3909
(843) 737-0437
(843) 789-3053
Mailing address
9404 HIGHWAY 78 SUITE 100, LADSON, SC 29456-3909
(843) 737-0437
(843) 789-3053
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
33911
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339119
—
SC
Enumeration date
12/28/2012
Last updated
05/01/2020
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