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Organization

PALMETTO PAIN MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA B SMOAK (BILLING ADMIN)
(803) 779-3263
Entity
Organization

Contact information

Practice address
2611 FOREST DR STE 200, COLUMBIA, SC 29204-2371
(803) 779-3263
(803) 779-3207
Mailing address
2611 FOREST DR STE 200, COLUMBIA, SC 29204-2371
(803) 779-3263
(803) 779-3207

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138942
SC
Enumeration date
07/19/2006
Last updated
10/08/2024
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