Carolina Pain Scrambler Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CAROLINA PAIN SCRAMBLER CENTER

Practice address

103 S Venture Dr
Greenville, SC 29615-3571

Phone

(864) 520-5011

Fax

(864) 520-5011

NPI assigned

Sep 25, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fran M Long

Title

Owner/Directing Manager

Phone

(864) 520-5011

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1124503255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S VENTURE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153571",
            "telephone_number": "864-520-5011",
            "fax_number": "864-520-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S VENTURE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153571",
            "telephone_number": "864-520-5011",
            "fax_number": "864-520-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PAIN SCRAMBLER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "FRAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DIRECTING MANAGER",
        "authorized_official_telephone_number": "864-520-5011"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Oaks Dental Care, LLC
• Carolina Oaks Orthodontics, LLC
• Carolina Oral & Facial Surgery, P.a.
• Carolina Orthopaedic and Neurosurgical Associates
• Carolina Orthopaedic Center
• Carolina Performance Chiropractic
• Carolina Periodontics & Dental Implants
• Carolina Physicians and Rehab, LLC.
• Carolina Rehab & Mobility
• Carolina Sleep Therapy LLC

• Internal Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.