ADVANCED SPORTS & SPINE PLLC NPI 1629422738

NPI Information

ADVANCED SPORTS & SPINE, PLLC is a pain medicine physical medicine rehabilitation in Charlotte, 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 SPORTS & SPINE, PLLC NPI is 1629422738. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8035 PROVIDENCE RD
#340
CHARLOTTE, NC
ZIP 28277-716
Phone: (704) 542-3988

The provider's authorized official is Usman Fayyaz Ahmad .
The authorized official title is Sole Member and has the following contact phone number (704) 542-3988.

The CLIA number assigned to this NPI record is 34D2121387 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2016 and was last updated on 4/12/2018.

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:

Other Identifiers

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