| NPI | 1235583576 |
|---|---|
| Doing Business As | PAIN SPECIALISTS OF COLUMBIA |
| Entity Type | Organization |
| Authorized Contact | EDWARD MARION TAVEL President 843-818-1181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 16626) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2021-08-11 |