Organization · Type 2 NPI

Self Regional Healthcare

Pain Medicine (Anesthesiology) Physician · Clinton, SC

NPI number 1720938103 Active

Practice location

23013 Highway 76 E Ste C
Clinton, SC 29325-7530

Mailing address

1325 Spring St
Greenwood, SC 29646-3875

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Anesthesiology) Physician Primary 207LP2900XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900XNone listed
Interventional Pain Medicine Physician 208VP0014XNone listed

Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Another provider at this address

About NPI 1720938103

Self Regional Healthcare's National Provider Identifier is 1720938103, issued on Feb 3, 2026. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Clinton, SC. The record was last updated on Sep 18, 2026.