NPI | 1831435429 |
---|---|
Doing Business As | COLONIAL PAIN MANAGEMENT |
Entity Type | Organization |
Authorized Contact | JOY KIMBALL Contract Manager 803-256-1511 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
207LP2900X Anesthesiology, Pain Medicine | |
207Q00000X Family Medicine | |
Enumeration Date | 2012-12-31 |
Last Update Date | 2025-10-10 |