MEDICARE: PAIN SPECIALISTS OF CHARLESTON PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician	16626	SC

General Provider Information

NPI Number	:	1760636856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN SPECIALISTS OF CHARLESTON PA

Provider Business Mailing Address
First Line	:	2695 ELMS PLANTATION BLVD STE A
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-7132
Country	:	US
Telephone Number	:	843-818-1181
Fax Number	:

Provider Business Practice Location Address
First Line	:	2695 ELMS PLANTATION BLVD STE A
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-7132
Country	:	US
Telephone Number	:	843-818-1181
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. EDWARD M TAVEL
Credential	:	MS
Telephone Number	:	843-818-1181

Provider Enumeration Date	:	11/17/2008
Last Update Date	:	08/11/2021

Similar Medicare Providers

1861792509 — CARL OLSON D.P.T.
Practice Location Address:

2695 ELMS PLANTATION BLVD STE C
NORTH CHARLESTON, SC
29406-7132

Practice Phone: 843-974-8877
Practice Fax: 843-974-8878

1699711945 — DAVID EDWARD STICKLER MD
Practice Location Address:

2695 ELMS PLANTATION BLVD , SUITE - A
NORTH CHARLESTON, SC
29406-7132

Practice Phone: 843-818-1181
Practice Fax: 843-818-1145

1154347763 — ANDREA R GUNN P.T.
Practice Location Address:

2695 ELMS PLANTATION BLVD STE C
NORTH CHARLESTON, SC
29406-7132

Practice Phone: 843-974-4097
Practice Fax: 843-974-4125

1992093991 — ALEXIS ATON PT, DPT, OCS
Practice Location Address:

2695 ELMS PLANTATION BLVD STE C
NORTH CHARLESTON, SC
29406-7132

Practice Phone: 843-974-8877
Practice Fax:

1033521596 — JARED LETHCO
Practice Location Address:

2695 ELMS PLANTATION BLVD , STE. C
NORTH CHARLESTON, SC
29406-7132

Practice Phone: 843-974-4097
Practice Fax: 843-974-4125

1144697244 — MEGAN RAYMOND DPT
Practice Location Address:

2695 ELMS PLANTATION BLVD , SUITE D
NORTH CHARLESTON, SC
29406-7132

Practice Phone: 843-974-4097
Practice Fax:

Directions to “PAIN SPECIALISTS OF CHARLESTON PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.