Organization
ADVANCED SPINE AND PAIN CENTER,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHID IDRISSI (MEMBER OWNER)
(919) 894-1740
Entity
Organization
Contact information
Practice address
518 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 339-8475
Mailing address
1 MEDICAL DR, BENSON, NC 27504-1177
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2007-00587
NC
208VP0000X
Pain Medicine Physician
2007-00587
NC
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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