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Organization

WAKE SPINE AND PAIN SPECIALISTS, PC

Active
Parent organization
WAKE SPINE AND PAIN SPECIALISTS, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAKE SPINE AND PAIN SPECIALISTS, PC
Authorized official
VIJAYSINHA MANDHARE (MEDICAL DIRECTOR)
(919) 787-7246
Entity
Organization

Contact information

Practice address
1511 WESTOVER TER STE 107, GREENSBORO, NC 27408-7122
(336) 398-5155
(336) 398-5156
Mailing address
3801 WAKE FOREST RD STE 210, RALEIGH, NC 27609-6864
(919) 787-7246
(919) 787-7247

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Enumeration date
04/22/2022
Last updated
04/22/2022
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