NPI | 1821637760 |
---|---|
Doing Business As | CAROLINA SPINE AND PAIN ASSOCIATES |
Entity Type | Organization |
Authorized Contact | BLAKE CHRISTIAN LECHE Member 864-635-0376 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
207P00000X Emergency Medicine | |
207Q00000X Family Medicine | |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2019-12-23 |
Last Update Date | 2020-09-28 |