Organization
TRIDENT PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET AGEE (BILLING MANAGER)
(843) 410-4402
Entity
Organization
Contact information
Practice address
9275 MEDICAL PLAZA DR, STE G, NORTH CHARLESTON, SC 29406-9140
(843) 797-3636
(843) 797-3637
Mailing address
9275 MEDICAL PLAZA DR, STE G, NORTH CHARLESTON, SC 29406-9140
(843) 797-3636
(843) 797-3637
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
4D1092047
SC
Other
Enumeration date
05/19/2015
Last updated
03/18/2024
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