# ATLANTIC PAIN MANAGEMENT & REHABILITATION P.C.

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

## Provider details

- **NPI number:** 1568529303
- **Authorized official:** DR. THEODORE W NICHOLAS M.D. (PHYSICIAN)
- **Authorized official phone:** (252) 261-5868

## Contact information

- **Practice address:** 3210 N. CROATAN HWY BUILDING 3 SUITE 3, KILL DEVIL HILLS, NC 27948
- **Practice address phone:** (252) 261-5868
- **Practice address fax:** (252) 441-7793
- **Mailing address:** 3210 N. CROATAN HWY BUILDING 3 SUITE 3, KILL DEVIL HILLS, NC 27948
- **Mailing address phone:** (252) 261-5868
- **Mailing address fax:** (252) 441-7793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2002-0059 | NC | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 09/05/2013