# PAIN AND ORTHOPEDIC NEUROLOGY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083631824
- **Authorized official:** DR. ANTHONY HALLOCK WHEELER M.D. (PRESIDENT)
- **Authorized official phone:** (704) 365-0966

## Contact information

- **Practice address:** 3711 LATROBE DR STE 530, CHARLOTTE, NC 28211-1664
- **Practice address phone:** (704) 365-0966
- **Practice address fax:** (704) 362-3691
- **Mailing address:** 3711 LATROBE DR STE 530, CHARLOTTE, NC 28211-1664
- **Mailing address phone:** (704) 365-0966
- **Mailing address fax:** (704) 362-3691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | 28819 | NC | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 07/14/2010
