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 MD (MEDICAL DIRECTOR)
(919) 787-7246
Entity
Organization
Contact information
Practice address
2912 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4010
(336) 760-0706
(336) 760-1927
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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