Organization
MIDLANDS PAIN AND NEUROPATHY LLC
Active
Organization
MIDLANDS PAIN AND NEUROPATHY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE STANLEY D.C. (OWNER)
(248) 470-3224
Entity
Organization
Contact information
Practice address
4531 HARD SCRABBLE RD, COLUMBIA, SC 29229-8561
(803) 760-8651
Mailing address
4531 HARD SCRABBLE RD, COLUMBIA, SC 29229-8561
(803) 760-8651
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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