Organization
TRIDENT PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH EDWARD NOLAN (OWNER/MEDICAL DIRECTOR)
(843) 797-3636
Entity
Organization
Contact information
Practice address
9267 MEDICAL PLAZA DR STE G, N CHARLESTON, SC 29406-9139
(843) 797-3636
(843) 797-3637
Mailing address
9267 MEDICAL PLAZA DR STE G, N CHARLESTON, SC 29406-9139
(843) 797-3636
(843) 797-3637
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080192298
RAILROAD MEDICARE
SC
Enumeration date
09/16/2006
Last updated
03/02/2026
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