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CAROLINA SPORTS AND SPINE NPI 1992160659


NPI Information

NPI: 1992160659
Provider Name: CAROLINA SPORTS AND SPINE
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 34D2002033

Address:
1700 FOREST HILLS RD W
WILSON, NC
ZIP 27893
Phone: (252) 442-4024
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CAROLINA SPORTS AND SPINE is a pain medicine physical medicine rehabilitation in Wilson, 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. CAROLINA SPORTS AND SPINE NPI is 1992160659. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 FOREST HILLS RD W
WILSON, NC
ZIP 27893-411
Phone: (252) 442-4024

The provider's authorized official is Jennifer Yap .
The authorized official title is Physician and has the following contact phone number (252) 442-4024.

The CLIA number assigned to this NPI record is 34D2002033 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/23/2015 and was last updated on 12/23/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P2900XPhysical Medicine & RehabilitationPain Medicine2008-00005NORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1140405MEDICARE UPINNORTH CAROLINA

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: 5/5/2024

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