# ADVANCED SPINE AND PAIN CENTER,

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

## Provider details

- **NPI number:** 1235597493
- **Authorized official:** RACHID IDRISSI (MEMBER OWNER)
- **Authorized official phone:** (919) 894-1740

## Contact information

- **Practice address:** 518 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
- **Practice address phone:** (910) 339-8475
- **Mailing address:** 1 MEDICAL DR, BENSON, NC 27504-1177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2007-00587 | NC | Yes |
| 208VP0000X | Pain Medicine Physician | 2007-00587 | NC | — |

## Other

- **Enumeration date:** 02/03/2016
- **Last updated:** 02/03/2016