Provider Demographics
NPI:1700133311
Name:PAIN SPECIALISTS OF SOUTH CAROLINA
Entity Type:Organization
Organization Name:PAIN SPECIALISTS OF SOUTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:803-832-7389
Mailing Address - Street 1:200 CAUGHMAN FARM LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7342
Mailing Address - Country:US
Mailing Address - Phone:803-832-7389
Mailing Address - Fax:888-729-5727
Practice Address - Street 1:200 CAUGHMAN FARM LN
Practice Address - Street 2:SUITE A
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7342
Practice Address - Country:US
Practice Address - Phone:631-572-4414
Practice Address - Fax:888-729-5727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC32947207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty