Provider Demographics
NPI:1326344086
Name:FIRSTCHOICE HEALTHCARE, PC
Entity Type:Organization
Organization Name:FIRSTCHOICE HEALTHCARE, PC
Other - Org Name:THE PAIN CENTER AT FIRSTCHOICE HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LLOUD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-678-9777
Mailing Address - Street 1:1920 2ND LOOP RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-6123
Mailing Address - Country:US
Mailing Address - Phone:843-679-9777
Mailing Address - Fax:843-665-2814
Practice Address - Street 1:120 HIGHLAND CENTER DR
Practice Address - Street 2:SUITE 105
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-9127
Practice Address - Country:US
Practice Address - Phone:803-419-9091
Practice Address - Fax:803-419-9199
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRSTCHOICE HEALTHCARE, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-28
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty