Organization
PERIOPERATIVE MEDICINE CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE K RICHARDSON (MEDICAL AFFAIRS MANAGER)
(803) 254-2394
Entity
Organization
Contact information
Practice address
2829 E HIGHWAY 76, MULLINS, SC 29574-6035
(803) 431-2525
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
(803) 254-2394
(803) 254-7125
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD7975
RR MEDICARE
SC
01
—
GP4228
SELECT HEALTH
SC
05
—
GP4228
—
SC
Enumeration date
10/04/2006
Last updated
09/11/2025
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