Organization · Type 2 NPI
Trident Pain Center
Non-Pharmacy Dispensing Site · West Columbia, SC
NPI number
1104602754
Active
Practice location
176 Mcswain Dr
West Columbia, SC 29169-4825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
9 other providers at this address
- Trident Pain Center LLCPain Medicine Physician West Columbia, SC NPI 1659915445
- Dee Anne Louise Griffin, FNP-CFamily Nurse Practitioner West Columbia, SC NPI 1518465210
- Devin Antonovich, MDAnesthesiology Physician West Columbia, SC NPI 1770036410
- Edward A. GagePhysician Assistant West Columbia, SC NPI 1770672792
- Jeffrey S. Molle, MDSurgery Physician West Columbia, SC NPI 1073577375
- Lisa J. Rivera, APNFamily Nurse Practitioner West Columbia, SC NPI 1245852631
- Marcela Dolores Farrer, DPMPodiatrist West Columbia, SC NPI 1972779833
- Mary Regina Dortenzo, RN-ANPAdult Health Nurse Practitioner West Columbia, SC NPI 1215105085
- Michael Chad Atchley Sr., P.A.Physician Assistant West Columbia, SC NPI 1104092204
About NPI 1104602754
Trident Pain Center's National Provider Identifier is 1104602754, issued on Sep 7, 2023. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in West Columbia, SC. The record was last updated on Sep 7, 2023.