OrganizationActive
Pain Institute of Charleston, LLC
NPI 1346821766 · Pain Medicine (Anesthesiology) Physician · Charleston, SC
Provider details
- NPI number
- 1346821766
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Gardner, Owner(843) 805-2628
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1014 Saint Andrews Blvd Ste 210a
Charleston, SC 29407-7177
Phone: (843) 805-2628
Approximate (ZIP-level) locationGet directions
Mailing address
353 Ashley Ave
Charleston, SC 29403-4684
Registry dates
- Enumerated
- 2021-04-16
- Last updated
- 2022-01-07
- Certified
- 2022-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.