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Organization
INTERVENTIONAL PAIN CENTER PLLC
Active
Organization
INTERVENTIONAL PAIN CENTER PLLC
Active
Other names
Fayetteville Pain Center, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEKA TINCH (RCM MANAGER)
(469) 458-9222
Entity
Organization
Contact information
Practice address
2153 VALLEYGATE DR, SUITE 102, FAYETTEVILLE, NC 28304-3681
(910) 321-7246
(910) 321-7245
Mailing address
PO BOX 931038, ATLANTA, GA 31193-1038
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
200100673
NC
Other
Enumeration date
01/03/2007
Last updated
12/08/2025
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