NPI 1629460381 · live from the CMS NPI Registry
Atlantic Coast Pain Specialists, INC
Anesthesiology, Pain Medicine in Conway, SC. National Provider Identifier 1629460381, active.
NPI record
| NPI | 1629460381 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Pain Medicine 207LP2900X |
| Practice location | 2767 Cultra Rd, Conway, SC 29526 |
| Practice phone | 843-438-8470 |
| Enumerated | March 4, 2015 |
| Last updated | April 20, 2022 |
| Authorized official | Richard Kline, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Anesthesiology | 207L00000X | — |
| Anesthesiology, Pain Medicine | 207LP2900X | 20364 (SC) |
| Family Medicine, Adult Medicine | 207QA0505X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Physician Assistant, Medical | 363AM0700X | — |
| Anesthesiology, Pain Medicine primary | 207LP2900X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.