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

Trident Pain Center P A

Organization Pain Medicine (Anesthesiology) Physician · NPI 1104468594

Trident Pain Center P A is a Pain Medicine (Anesthesiology) Physician in Columbia, South Carolina. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

120 Highland Center Dr
Columbia, SC 29203-9127
Phone: (843) 797-3636
Fax: (843) 797-3637
Show map & directions

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

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1104468594
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTrident Pain Center LLC
Authorized official Joseph Nolan — Medical Director · (843) 797-3636
NPI enumeratedOctober 17, 2019
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024
Mailing address9267 Medical Plaza Dr Ste G, North Charleston, SC 29406-9139

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