Organization
SUMTER INTERVENTIONAL PAIN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMRAN Z KORANLOO M.D. (M.D.)
(803) 774-2570
Entity
Organization
Contact information
Practice address
764 W LIBERTY ST, STE 3, SUMTER, SC 29150-4770
(803) 774-2570
(803) 774-2571
Mailing address
764 W LIBERTY ST, STE 3, SUMTER, SC 29150-4770
(803) 774-2570
(803) 774-2571
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
23150
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231500
—
SC
Enumeration date
01/29/2007
Last updated
11/15/2007
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