Organization
LAKE MURRAY PAIN AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J KROLL MD (DOCTOR/MEDICAL DIRECTOR)
(803) 345-0334
Entity
Organization
Contact information
Practice address
510 COLUMBIA AVE, CHAPIN, SC 29036-9424
(803) 345-0334
(803) 345-0335
Mailing address
510 COLUMBIA AVE, CHAPIN, SC 29036-9424
(803) 345-0334
(803) 345-0335
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7485
SC
Other
Enumeration date
01/04/2011
Last updated
03/10/2011
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