OrganizationActive
Southeast Neuropathy & Treatment Center, LLC
NPI 1396161808 · Pain Clinic/Center · Columbia, SC
Provider details
- NPI number
- 1396161808
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Glenn Gray, Corporate Compliance Officer(803) 240-5399
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1494 Lake Murray Blvd
1st Floor
Columbia, SC 29212-8697
Phone: (803) 240-5399
Fax: (803) 791-1634
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 26
Irmo, SC 29063-0026
Registry dates
- Enumerated
- 2014-03-07
- Last updated
- 2014-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.