Trident Pain Center P a

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

TRIDENT PAIN CENTER P A

Practice address

205 Eddie Chasteen Dr
Walterboro, SC 29488-5728

Phone

(843) 797-3636

Fax

(843) 797-3637

NPI assigned

Nov 4, 2019

Organization subpart

Yes

Parent organization

TRIDENT PAIN CENTER P AAs reported in NPPES

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

Authorized official

Name

Dr. Joseph Edward Nolan

Title

MD

Phone

(843) 797-3636

Specialties & licenses 1

Addresses

Part of

Trident Pain Center LLC

Locations

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1437793353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9267 MEDICAL PLAZA DR STE G",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069139",
            "telephone_number": "843-797-3636",
            "fax_number": "843-797-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EDDIE CHASTEEN DR",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885728",
            "telephone_number": "843-797-3636",
            "fax_number": "843-797-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT PAIN CENTER P A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIDENT PAIN CENTER P A",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "843-797-3636",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Titan Hospitalist Group,LLC
• Bryan D Tompkins, DO
• Tracys Pharmacy
• Trent Cannon & Riddick Ackerman III (Walterboro Ob/Gyn)
• Trident Pain Center LLC
• Whitney Lynn Troy
• True Beginnings LLC
• Nicole E Trumbull, OTR/L
• Meagan Tyler
• United Rehab Inc. (United Rehab of Walterboro)

• Pain Medicine Physician in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Pain Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.