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Organization

ADVANCED SPINE AND PAIN CENTER, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHID IDRISSI (MEMBER OWNER)
(919) 359-8643
Entity
Organization

Contact information

Practice address
1 MEDICAL DR, BENSON, NC 27504-1177
(919) 894-1740
Mailing address
166 SPRINGBROOK AVE, SUITE 105, CLAYTON, NC 27520-8520

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
05/17/2016
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