Organization
SOUTHCOAST SPINE AND PAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYAN LONG (BILLING MANAGER)
(843) 224-8086
Entity
Organization
Contact information
Practice address
440 SOCIETY HILL DR STE 202, AIKEN, SC 29803-1755
(803) 226-0102
(803) 226-0384
Mailing address
440 SOCIETY HILL DR STE 202, AIKEN, SC 29803-1755
(803) 226-0102
(803) 226-0384
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/09/2022
Last updated
10/06/2022
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