Organization
FIRSTCHOICE HEALTHCARE PC
Active
Other names
THE PAIN CENTER OF FIRSTCHOICE HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLARD DEAN BANKS M.D. (PRESIDENT)
(843) 678-9777
Entity
Organization
Contact information
Practice address
40 OKATIE CENTER BLVD S, SUITE 350, OKATIE, SC 29909-7507
(843) 705-3800
(843) 705-3840
Mailing address
1920 2ND LOOP RD, FLORENCE, SC 29501-6123
(843) 678-9777
(843) 665-2814
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
13361
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13361
BUSINESS LICENSE
SC
Enumeration date
01/27/2012
Last updated
11/02/2012
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