Organization
WACCAMAW PAIN PARTNERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON C ROSENBERG MD (PRESIDENT)
(843) 669-5162
Entity
Organization
Contact information
Practice address
4033 HWY 17 BYPASS, SUITE 108, MURRELLS INLET, SC 27576
(843) 669-5162
(843) 667-4573
Mailing address
PO BOX 100523, FLORENCE, SC 29501-0523
(843) 669-5162
(843) 667-4573
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
24751
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247512
—
SC
Enumeration date
08/21/2006
Last updated
04/20/2008
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