# CAROLINA SPINE, PAIN AND REHABILITATION PLLC

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

## Provider details

- **NPI number:** 1134185184
- **Authorized official:** DR. HERMAN CLARK GORE MD (CEO)
- **Authorized official phone:** (704) 864-3300

## Contact information

- **Practice address:** 900 COX RD, STE A, GASTONIA, NC 28054-3460
- **Practice address phone:** (704) 864-3300
- **Practice address fax:** (704) 864-2002
- **Mailing address:** PO BOX 550700, GASTONIA, NC 28055-0700
- **Mailing address phone:** (704) 864-3300
- **Mailing address fax:** (704) 864-2002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 12/07/2022