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Organization

CAROLINA SPINE AND PAIN CENTERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BLAKE LECHE MD (MEMBER)
(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
115 BRUSHY CREEK RD, EASLEY, SC 29642-1120
(864) 635-0376
(864) 442-6848

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
314305
SC
Enumeration date
12/23/2019
Last updated
04/10/2020
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