Organization
SOUTHEAST PAIN MANAGEMENT SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HAWK (VICE PRESIDENT)
(954) 384-0175
Entity
Organization
Contact information
Practice address
927 EAST BLVD, CHARLOTTE, NC 28203-5203
(704) 377-5772
(707) 377-3389
Mailing address
927 EAST BLVD, CHARLOTTE, NC 28203-5203
(704) 377-5772
(707) 377-3389
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
10/18/2010
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