Organization
CENTER FOR PAIN CONTROL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E BRANDT D.O. (OWNER/PHYSICIAN)
(803) 408-3033
Entity
Organization
Contact information
Practice address
1165 HIGHWAY 1 S, SUITE 300, LUGOFF, SC 29078-8966
(803) 408-3033
(803) 408-3011
Mailing address
1165 HIGHWAY 1 S, SUITE 300, LUGOFF, SC 29078-8966
(803) 408-3033
(803) 408-3011
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
356
SC
Other
Enumeration date
10/31/2007
Last updated
03/13/2013
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