NPI 1104791995
South Carolina Interventional Pain - D, LLC
Practice location
- Address
- 199 Village Center Blvd STE 120, Myrtle Beach, SC 29579-3589
- Phone
- (770) 962-3642
- Fax
- (770) 962-3643
- Mailing address
- 455 Philip Blvd STE 140, Lawrenceville, GA 30046-8768
Authorised official
- Name
- Amit Patel
- Title
- Ceo
- Phone
- (770) 962-3642
Registered specialties
Interventional Pain Medicine Physician
Primary
Registry record
- NPI
- 1104791995
- Entity type
- Organization
- NPI issued
- 9 Oct 2025
- Record last updated
- 9 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.