# ADVANCED SPINE AND PAIN CENTER, P.A.

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

## Provider details

- **NPI number:** 1255799375
- **Authorized official:** RACHID IDRISSI (MEMBER OWNER)
- **Authorized official phone:** (919) 359-8643

## Contact information

- **Practice address:** 1 MEDICAL DR, BENSON, NC 27504-1177
- **Practice address phone:** (919) 894-1740
- **Mailing address:** 166 SPRINGBROOK AVE, SUITE 105, CLAYTON, NC 27520-8520

## 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:** 05/17/2016