Pee Dee Pain Care, Llc

LBN: Pee Dee Pain Care, Llc
Pee Dee Pain Care, Llc is an health care organization with primary practice located at 552 W Carolina Ave , Hartsville SC 29550-5412. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Pee Dee Pain Care, Llc can be contacted via phone (843) 350-0100, or through Mancuso, Lisa via phone (843) 350-0100.

Contact Information

Primary practice address
552 W Carolina Ave Hartsville SC 29550-5412
Phone: (843) 350-0100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mancuso, Lisa Doctor of Medicine (MD)
Phone: (843) 350-0100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 23676 South Carolina

Profile Details

NPI number 1508009614
LBN Legal business name Pee Dee Pain Care, Llc
DBA Doing business as
Authorized official Mancuso, Lisa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2009
Last updated Aug 27th, 2015 - about 10 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 1508009614 NPPES
South Carolina MEDICAID 236765

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