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Organization
ADVANCED SPINE AND PAIN CENTER, P.A.
Active
Organization
ADVANCED SPINE AND PAIN CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHID IDRISSI MD (PRESIDENT)
(919) 894-1740
Entity
Organization
Contact information
Practice address
1 MEDICAL DR, BENSON, NC 27504-1177
(919) 894-1740
(919) 894-2701
Mailing address
PO BOX 839, BENSON, NC 27504
(919) 894-1740
(919) 894-2701
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2007-00587
NC
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
02/03/2009
Last updated
03/01/2014
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