# CAROLINA SPORTS AND SPINE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Carolina Sports and Spine, PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881927648
- **Authorized official:** DR. ALVIN KANDANATT ANTONY MD (PRESIDENT/SECRETARY)
- **Authorized official phone:** (252) 314-2788

## Contact information

- **Practice address:** 3101 ZEBULON RD, ROCKY MOUNT, NC 27804-2426
- **Practice address phone:** (252) 442-4024
- **Practice address fax:** (252) 442-5056
- **Mailing address:** 3101 ZEBULON RD, ROCKY MOUNT, NC 27804-2426
- **Mailing address phone:** (252) 442-4024
- **Mailing address fax:** (252) 442-5056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2008-00005 | NC | Yes |

## Other

- **Enumeration date:** 09/11/2009
- **Last updated:** 10/21/2024