Organization
COASTAL PAIN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C WILLS DC (PRESIDENT)
(843) 327-3791
Entity
Organization
Contact information
Practice address
8626 DORCHESTER RD, STE 101, NORTH CHARLESTON, SC 29420-7328
(843) 327-3791
Mailing address
8626 DORCHESTER RD, STE 101, NORTH CHARLESTON, SC 29420-7328
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
24890
SC
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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