Organization
PM & R CONSULTANTS PA
Active
Other names
Palmetto Spine & Pain Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHISH GAJANAN SHANBHAG M.D. (PRESIDENT)
(864) 278-6006
Entity
Organization
Contact information
Practice address
1060 N CHURCH ST, SPARTANBURG, SC 29303-2796
(864) 278-6006
(864) 278-6007
Mailing address
PO BOX 6012, SPARTANBURG, SC 29304-6012
(864) 278-6006
(864) 278-6007
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
19477
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3849
—
SC
Enumeration date
01/23/2008
Last updated
09/02/2011
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