NPI | 1063454775 |
---|---|
Doing Business As | CHARLESTON PAIN & REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | JEFFREY WAYNE BUNCHER Medical Director 843-556-3462 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 15523) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2015-06-12 |