RISE UP ADDICTION MEDICINE & PAIN MANAGEMENT PLLC NPI 1659943108

NPI Information

RISE UP ADDICTION MEDICINE & PAIN MANAGEMENT PLLC is an addiction medicine anesthesiology in Winston Salem, NC. The provider is an anesthesiologist who specializes in the diagnosis and treatment of addictions. RISE UP ADDICTION MEDICINE & PAIN MANAGEMENT PLLC NPI is 1659943108. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Medical Office.

The provider's business location address is:

500 W 5TH ST STE 800
WINSTON SALEM, NC
ZIP 27101-131
Phone: (336) 247-1068

The provider's authorized official is Michael Royall .
The authorized official title is Owner and has the following contact phone number (336) 248-1068.

The CLIA number assigned to this NPI record is 34D2235516 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2021 and was last updated on 9/8/2021.

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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