Organization
PAIN MEDICINE SPECIALISTS, PA
Active
Other names
Dr Gisele J Girault, MD - Pain Medicine Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COURTNEY SEMKEN (PRACTICE MANAGER)
(503) 866-1438
Entity
Organization
Contact information
Practice address
3410 SUNSET BLVD, WEST COLUMBIA, SC 29169-3042
(803) 791-9200
(803) 791-9207
Mailing address
1750 HIGHWAY 160 WEST, SUITE 101#319, FORT MILL, SC 29708-1759
(803) 802-7100
(803) 802-8378
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T73364
—
SC
Enumeration date
11/13/2019
Last updated
08/05/2020
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