Southeast Neuropathy & Treatment Center, LLC
NPI #1396161808 in Columbia, South Carolina
Provider Information
- NPI Number
- 1396161808
- Entity Type
- Organization
- Organization Name
- Southeast Neuropathy & Treatment Center, LLC
- Primary Specialty
- Clinic/Center - Pain
- Enumeration Date
- Mar 7, 2014
- Last Updated
- Mar 7, 2014
Practice Location
- Address
- 1494 LAKE MURRAY BLVD
- Address 2
- 1ST FLOOR
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29212-8697
- Phone
- (803) 240-5399
Authorized Official
- Name
- MR. GLENN GRAY
- Title
- CORPORATE COMPLIANCE OFFICER
- Phone
- (803) 240-5399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
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