Organization
WACCAMAW PAIN GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK KAYLOR (AUTHORIZED REPRESENTATIVE)
(843) 652-1100
Entity
Organization
Contact information
Practice address
4040 HIGHWAY 17 BYPASS, SUITE 206, MURRELLS INLET, SC 29576-5033
(843) 652-8260
Mailing address
4040 HIGHWAY 17 BYPASS, SUITE 206, MURRELLS INLET, SC 29576-5033
(843) 652-8260
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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