Organization · Type 2 NPI

Southern Grace Pain & Regenerative Medicine

Pain Clinic/Center · Mount Pleasant, SC

NPI number 1942836754 Active

Practice location

3520 Park Avenue Blvd., Suite 105
Mount Pleasant, SC 29466

Mailing address

2256 Beckenham Dr
Mount Pleasant, SC 29466-9009

Specialties and licenses

TaxonomyCodeLicense
Pain Clinic/Center Primary 261QP3300XNone listed

Pain Clinic/Center: Definition to come...

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About NPI 1942836754

Southern Grace Pain & Regenerative Medicine's National Provider Identifier is 1942836754, issued on Mar 13, 2020. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Mount Pleasant, SC. The record was last updated on Mar 13, 2020.