Organization
BRIER CREEK INTEGRATED PAIN & SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIUS R. HARDISON (PRACTICE MGR.)
(919) 596-3400
Entity
Organization
Contact information
Practice address
7780 BRIER CREEK PKWY, SUITE 200, RALEIGH, NC 27617-7849
(919) 596-3400
(919) 596-3499
Mailing address
7780 BRIER CREEK PKWY, SUITE 200, RALEIGH, NC 27617-7849
(919) 596-3400
(919) 596-3499
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915893
—
NC
Enumeration date
08/21/2007
Last updated
02/03/2012
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