# SOUTHEAST PAIN MANAGEMENT SERVICES, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1255396933
- **Authorized official:** MR. WILLIAM HAWK (VICE PRESIDENT)
- **Authorized official phone:** (954) 384-0175

## Contact information

- **Practice address:** 927 EAST BLVD, CHARLOTTE, NC 28203-5203
- **Practice address phone:** (704) 377-5772
- **Practice address fax:** (707) 377-3389
- **Mailing address:** 927 EAST BLVD, CHARLOTTE, NC 28203-5203
- **Mailing address phone:** (704) 377-5772
- **Mailing address fax:** (707) 377-3389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 10/18/2010