Palmetto Pain Management Llc

LBN: Palmetto Pain Management Llc
Palmetto Pain Management Llc is an health care organization with primary practice located at 2611 Forest Dr Ste 200 , Columbia SC 29204-2371. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Palmetto Pain Management Llc can be contacted via phone (803) 779-3263, or through Riber, Ezra B via phone (803) 779-3263.

Contact Information

Primary practice address
2611 Forest Dr Ste 200 Columbia SC 29204-2371
Phone: (803) 779-3263
Fax: (803) 779-3207
Website:
Map and Directions
Authorized official contact:
Name: Riber, Ezra B Doctor of Medicine (MD)
Phone: (803) 779-3263

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1861411738
LBN Legal business name Palmetto Pain Management Llc
DBA Doing business as
Authorized official Riber, Ezra B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 8th, 2024 - about 2 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 1861411738 NPPES
South Carolina MEDICAID 138942

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