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
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 - PainPain

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