Organization
CAROLINA INTERVENTIONAL PAIN INSTITUTE, LLC
Active
Other names
Carolina Interventional Pain Institute, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA B SMOAK (BILLING ADMIN)
(803) 779-3263
Entity
Organization
Contact information
Practice address
2611 FOREST DR STE 100, COLUMBIA, SC 29204-2371
(803) 779-3263
Mailing address
2611 FOREST DR STE 200, COLUMBIA, SC 29204-2371
(803) 779-3263
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC123
—
SC
Enumeration date
01/23/2018
Last updated
10/08/2024
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