Pain Medicine Specialist

LBN: Carolina Interventional Pain Associates, P.A
Pain Medicine Specialist is an health care organization with primary practice located at 342 Patricia Lane Suite 102, Fort Mill SC 29708. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Carolina Interventional Pain Associates, P.A can be contacted via phone (803) 802-7100, or through Girault, Gisele Jacqueline via phone (803) 802-7100.

Contact Information

Primary practice address
342 Patricia Lane Suite 102 Fort Mill SC 29708
Phone: (803) 802-7100
Fax: (803) 791-9200
Website:
Map and Directions
Authorized official contact:
Name: Girault, Gisele Jacqueline Doctor of Medicine (MD)
Phone: (803) 802-7100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1275568149
LBN Legal business name Carolina Interventional Pain Associates, P.A
DBA Doing business as Pain Medicine Specialist
Authorized official Girault, Gisele Jacqueline Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275568149 NPPES
South Carolina MEDICAID GP3866
South Carolina MEDICAID GP4369

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