OrganizationActive
Southern Grace Pain & Regenerative Medicine
NPI 1942836754 · Pain Clinic/Center · Mount Pleasant, SC
Provider details
- NPI number
- 1942836754
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Blane Richardson, Provider/Owner(843) 754-4231
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3520 Park Avenue Blvd., Suite 105
Mount Pleasant, SC 29466
Phone: (843) 754-4231
Approximate (ZIP-level) locationGet directions
Mailing address
2256 Beckenham Dr
Mt Pleasant, SC 29466-9009
Registry dates
- Enumerated
- 2020-03-13
- Last updated
- 2020-03-13
- Certified
- 2020-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.