Organization
THE REGIONAL MEDICAL CENTER
Active
Other names
Low Country Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
AVINASH GUPTA MD (DOCTOR)
(803) 531-8808
Entity
Organization
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 531-8808
(803) 531-8804
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 531-8808
(803) 531-8804
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4405
—
SC
Enumeration date
01/30/2006
Last updated
04/29/2008
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