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

Southern Grace Pain & Regenerative Medicine

Organization Pain Clinic/Center · NPI 1942836754

Southern Grace Pain & Regenerative Medicine is a Pain Clinic/Center in Mount Pleasant, South Carolina. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

3520 Park Avenue Blvd Ste 105
Mount Pleasant, SC 29466
Phone: (843) 754-4231
Show map & directions

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

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X

Record details

NPI number1942836754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Blane Richardson — Provider/Owner · (843) 754-4231
NPI enumeratedMarch 13, 2020
Last updated in NPPESMarch 13, 2020
Certification dateMarch 13, 2020
Mailing address2256 Beckenham Dr, Mt Pleasant, SC 29466-9009

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