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ADVANCED SPINE AND PAIN CENTER P.A. NPI 1376902775


NPI Information

NPI: 1376902775
Provider Name: ADVANCED SPINE AND PAIN CENTER, P.A.
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
518 SANDHURST DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 339-8475
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ADVANCED SPINE AND PAIN CENTER, P.A. is a pain medicine physical medicine rehabilitation in Fayetteville, NC. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. ADVANCED SPINE AND PAIN CENTER, P.A. NPI is 1376902775. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

518 SANDHURST DR
FAYETTEVILLE, NC
ZIP 28304-426
Phone: (910) 339-8475

The provider's authorized official is Rachid Idrissi .
The authorized official title is Physician Owner and has the following contact phone number (910) 339-8475.

The enumeration date for this NPI number is 2/15/2016 and was last updated on 2/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0000XPain MedicinePain MedicineNo
22081P2900XPhysical Medicine & RehabilitationPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12022043AMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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