| Pain Management Associates Anderson | |
|
108 Montgomery Drive Anderson SC 29621-3334 | |
| (864) 225-5597 | |
| (864) 225-5835 |
| Full Name | Pain Management Associates Anderson |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 108 Montgomery Drive, Anderson, South Carolina |
| Authorized Official Name and Position | Daniel A Mccollum (CEO) |
| Authorized Official Contact | 8643432611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain Management Associates Anderson P.o. Box 484 Easley SC 29641-4848 Ph: (864) 855-1633 | Pain Management Associates Anderson 108 Montgomery Drive Anderson SC 29621-3334 Ph: (864) 225-5597 |
| NPI Number | 1104157718 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 01/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104157718 | NPI | - | NPPES |
| GP2763 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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