| NPI | 1619174687 |
|---|---|
| Doing Business As | PAIN, SPINE AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | C GREGORY KANG Owner 843-215-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 19925) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2012-01-03 |