| Pain Managenent Associates | |
|
1005 Grove Rd Greenville SC 29605-4630 | |
| (864) 404-3096 | |
| (864) 404-3183 |
| Full Name | Pain Managenent Associates |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1005 Grove Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Daniel A. Mccollum (PRESIDENT) |
| Authorized Official Contact | 8648551633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain Managenent Associates Po Box 484 Easley SC 29641-0484 Ph: (864) 855-1633 | Pain Managenent Associates 1005 Grove Rd Greenville SC 29605-4630 Ph: (864) 404-3096 |
| NPI Number | 1083814438 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 12/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083814438 | NPI | - | NPPES |
| GP2763 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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