Healthcare Provider Details

I. General information

NPI: 1841304870
Provider Name (Legal Business Name): NEXT STEP PAIN MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4033 HIGHWAY 17 BYPASS SUITE 108
MURRELLS INLET SC
29576
US

IV. Provider business mailing address

PO BOX 100523
FLORENCE SC
29501-0523
US

V. Phone/Fax

Practice location:
  • Phone: 843-669-5162
  • Fax: 843-667-4573
Mailing address:
  • Phone: 843-669-5162
  • Fax: 843-667-4573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number24751
License Number StateSC

VIII. Authorized Official

Name: DR. JASON C. ROSENBERG
Title or Position: OWNER
Credential: M. D.
Phone: 843-669-5162