Waccamaw Pain Group, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

WACCAMAW PAIN GROUP, LLC

Practice address

4040 Highway 17 Bypass
Suite 206
Murrells Inlet, SC 29576-5033

Phone

(843) 652-8260

NPI assigned

Apr 9, 2012

Organization subpart

No

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

Authorized official

Name

Rick Kaylor

Title

Authorized Representative

Phone

(843) 652-1100

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Georgetown Physician Associates, LLC

  • Urgent Care Clinic/Center
  • Murrells Inlet, SC
  • NPI 1295113207

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth A Snoderly, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Florence, SC
  • NPI 1982652749
  NPD (past)
• Channing Dale Willoughby, MD

  • Pain Medicine Physician
  • Murrells Inlet, SC
  • NPI 1235336421
  NPD (past)

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1780940312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 HIGHWAY 17 BYPASS",
            "address_2": "SUITE 206",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765033",
            "telephone_number": "843-652-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 HIGHWAY 17 BYPASS",
            "address_2": "SUITE 206",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765033",
            "telephone_number": "843-652-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACCAMAW PAIN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "KAYLOR",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "843-652-1100"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waccamaw Anesthesia Consultants, PA
• Waccamaw Chiroipractic & Wellness Center
• Waccamaw Community Hospital
• Waccamaw Family Chiropractic, P.C.
• Waccamaw Orthopaedics LLC
• Waccamaw Pain Partners PA
• Waccamaw Urology Associates
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• All providers in Murrells Inlet, SC
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.