Organization · Type 2 NPI

South Carolina Interventional Pain - D, LLC

Interventional Pain Medicine Physician · Myrtle Beach, SC

NPI number 1104791995 Active

Practice location

199 Village Center Blvd Ste 120
Myrtle Beach, SC 29579-3589

Fax (770) 962-3643

Mailing address

455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768

Specialties and licenses

TaxonomyCodeLicense
Interventional Pain Medicine Physician Primary 208VP0014XNone listed

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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About NPI 1104791995

South Carolina Interventional Pain - D, LLC's National Provider Identifier is 1104791995, issued on Oct 9, 2025. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Myrtle Beach, SC. The record was last updated on Oct 9, 2025.