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Organization
CAROLINAS PAIN INSTITUTE, PA
Active
Organization
CAROLINAS PAIN INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LEE RAUCK MD (PRESIDENT)
(336) 765-6181
Entity
Organization
Contact information
Practice address
145 KIMEL PARK DR, SUITE 330, WINSTON SALEM, NC 27103-6984
(336) 765-6181
(336) 765-8492
Mailing address
145 KIMEL PARK, SUITE 330, WINSTON SALEM, NC 27103
(336) 765-6181
(336) 765-8492
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
30458
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902221
—
NC
01
—
70536
BCBS
—
05
—
7970536
—
NC
Enumeration date
05/23/2006
Last updated
08/02/2021
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