Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charleston Spine & Physical Medicine

Organization Pain Medicine Physician · NPI 1417929027

Charleston Spine & Physical Medicine is a Pain Medicine Physician in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006

Practice location Address checks out

2093 Henry Tecklenburg Dr Ste 310
Charleston, SC 29414-5743
Phone: (843) 402-0111
Fax: (843) 402-9010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 15923 (SC)

Record details

NPI number1417929027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Jones — President · (843) 402-0111
NPI enumeratedFebruary 7, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2093 Henry Tecklenburg Dr, Ste 310, Charleston, SC 29414-5743

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