Organization
CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, LLC
Active
Other names
CCAMP Carolina Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HAASIS (OWNER/MD)
(864) 583-0053
Entity
Organization
Contact information
Practice address
279 E KENNEDY ST, SPARTANBURG, SC 29302-1912
(864) 583-0053
(864) 583-0390
Mailing address
PO BOX 6130, SPARTANBURG, SC 29304-6130
(864) 583-0053
(864) 583-0390
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013KE
BCBS
NC
05
—
890652K
—
NC
05
—
GP1456
—
SC
Enumeration date
07/26/2006
Last updated
12/11/2024
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