Waccamaw Pain Group, Llc

NPI Provider: 1780940312
Contact Name: KAYLOR RICK
Position: AUTHORIZED REPRESENTATIVE
Phone: (843) 652-1100

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Waccamaw Pain Group, Llc Information:

Waccamaw Pain Group, Llc organization have npi 1780940312, taxonomy code is 207L00000X with license number is in . This Business address located in 4040 HIGHWAY 17 BYPASS, MURRELLS INLET, SC 29576 South Carolina.

Practice Location
Address: 4040 HIGHWAY 17 BYPASS, MURRELLS INLET, SC 29576
Phone: (843) 652-8260

Business Location
Address: 4040 HIGHWAY 17 BYPASS, MURRELLS INLET, SC 29576
Phone: (843) 652-8260

Taxonomy

Taxonomy Code: 207L00000X

License Number:

License Number of State:

Primary Taxonomy Switch: Y

Enumeration Date: 04/09/2012

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