Coastal Pain Care

NPI #1245612035 in Little River, South Carolina

Provider Information

NPI Number
1245612035
Entity Type
Organization
Organization Name
Coastal Pain Care
Subpart
Yes (part of a larger organization)
Parent Organization
COMPLETE MEDICAL PRACTICE MANAGEMENT
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Jun 29, 2015
Last Updated
Aug 10, 2015

Practice Location

Address
3203 HIGHWAY 9 E
Address 2
SUITE B
ZIP Code
29566-8143
Phone
(843) 491-1480

Authorized Official

Name
MR. DARIN WILLARD
Title
MANAGING MEMBER
Phone
(304) 553-3457

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine
Pain Medicine - Pain MedicinePain Medicine
Pain Medicine - Interventional Pain MedicineInterventional Pain Medicine
Clinic/Center - Health ServiceHealth Service
Clinic/Center - PainPain

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