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

South Carolina Interventional Pain - D, LLC

Organization Interventional Pain Medicine Physician · NPI 1104791995

South Carolina Interventional Pain - D, LLC is an Interventional Pain Medicine Physician in Myrtle Beach, South Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

199 Village Center Blvd Ste 120
Myrtle Beach, SC 29579-3589
Phone: (770) 962-3642
Fax: (770) 962-3643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1104791995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amit Patel — Ceo · (770) 962-3642
NPI enumeratedOctober 9, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768

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