SOUTHERN GRACE PAIN & REGENERATIVE MEDICINE

MOUNT PLEASANT, SC
NPI1942836754
Entity TypeOrganization
Authorized ContactWILLIAM BLANE BLANE RICHARDSON
Provider/Owner
843-754-4231
Organization Subpart ?No
Primary Taxonomy261QP3300X Clinic/Center Pain
Enumeration Date2020-03-13
Last Update Date2020-03-13
Business Address
SOUTHERN GRACE PAIN & REGENERATIVE MEDICINE
3520 PARK AVENUE BLVD., SUITE 105
MOUNT PLEASANT, SC 29466
Phone number: 843-754-4231
Mailing Address
SOUTHERN GRACE PAIN & REGENERATIVE MEDICINE
2256 BECKENHAM DR
MT PLEASANT, SC 29466-9009
Phone number: 843-754-4231
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