Organization
CAROLINA PAIN CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS DUSSEL PRITCHARD MD (OWNER)
(704) 818-0480
Entity
Organization
Contact information
Practice address
610 SIGNAL HILL DRIVE EXT, SUITE 100, STATESVILLE, NC 28625-4337
(704) 818-0480
(704) 818-0490
Mailing address
PO BOX 63214, CHARLOTTE, NC 28263-3214
(704) 818-0480
(704) 818-0490
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
18045
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE8257
RR MEDICARE
—
Enumeration date
06/19/2007
Last updated
05/14/2008
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