Southern Grace Pain & Regenerative Medicine

LBN: Southern Grace Pain & Regenerative Medicine
Southern Grace Pain & Regenerative Medicine is an health care organization with primary practice located at 3520 Park Avenue Blvd., Suite 105 , Mount Pleasant SC 29466. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Southern Grace Pain & Regenerative Medicine can be contacted via phone (843) 754-4231, or through Richardson, William Blane Blane via phone (843) 754-4231.

Contact Information

Primary practice address
3520 Park Avenue Blvd., Suite 105 Mount Pleasant SC 29466
Phone: (843) 754-4231
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richardson, William Blane Blane Doctor of Medicine (MD)
Phone: (843) 754-4231

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1942836754
LBN Legal business name Southern Grace Pain & Regenerative Medicine
DBA Doing business as
Authorized official Richardson, William Blane Blane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2020
Last updated Mar 13th, 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.

Request for update

Popular Providers