Organization
SOUTHERN COAST PAIN SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER B.J. SCHUYLER (OWNER)
(843) 476-4702
Entity
Organization
Contact information
Practice address
1055 RIBAUT RD STE 30, BEAUFORT, SC 29902-5447
(843) 476-4702
(843) 476-4290
Mailing address
1055 RIBAUT RD STE 30, BEAUFORT, SC 29902-5447
(843) 476-4702
(843) 476-4290
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35457
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354574
—
SC
Enumeration date
11/21/2017
Last updated
08/28/2019
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