Organization
TRIDENT ANESTHESIA GROUP, LLC
Active
Other names
Pain Care Physicians of Charleston, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L FISHMAN M.D. (PARTNER/MEDICAL DIRECTOR)
(843) 414-1224
Entity
Organization
Contact information
Practice address
9263 MEDICAL PLAZA DR, STE B, CHARLESTON, SC 29406-7112
(843) 414-1224
(843) 414-1226
Mailing address
9263 MEDICAL PLAZA DR, SUITE E, CHARLESTON, SC 29406-7112
(843) 414-1224
(843) 414-1226
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0090
—
SC
05
—
GP4750
—
SC
Enumeration date
09/18/2007
Last updated
07/19/2012
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