# INTERVENTIONAL PAIN CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fayetteville Pain Center, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558428789
- **Authorized official:** SHANEKA TINCH (RCM MANAGER)
- **Authorized official phone:** (469) 458-9222

## Contact information

- **Practice address:** 2153 VALLEYGATE DR, SUITE 102, FAYETTEVILLE, NC 28304-3681
- **Practice address phone:** (910) 321-7246
- **Practice address fax:** (910) 321-7245
- **Mailing address:** PO BOX 931038, ATLANTA, GA 31193-1038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 200100673 | NC | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 12/08/2025