# COMPREHENSIVE REHABILITATION & PAIN SPECIALISTS, P.C.

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

## Provider details

- **NPI number:** 1578747077
- **Authorized official:** DR. JESSICA L. FULLER-HINES M.D. (PRESIDENT)
- **Authorized official phone:** (215) 287-2738

## Contact information

- **Practice address:** 135 E RICH BLVD, ELIZABETH CITY, NC 27909-5518
- **Practice address phone:** (252) 333-1277
- **Practice address fax:** (252) 333-1877
- **Mailing address:** 135 E RICH BLVD, ELIZABETH CITY, NC 27909-5518
- **Mailing address phone:** (215) 287-2738
- **Mailing address fax:** (252) 335-2840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2007-00519 | NC | Yes |

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 06/10/2013