Organization
CAROLINA SPINE PAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDY DALTON (CEO)
(864) 635-0376
Entity
Organization
Contact information
Practice address
115 BRUSHY CREEK RD, EASLEY, SC 29642-1120
(864) 635-0376
(864) 442-6848
Mailing address
PO BOX 1315, EASLEY, SC 29641-1315
(864) 635-0376
(864) 442-6848
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
12/15/2021
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