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Organization

PAIN CLINIC OF NORTH CAROLINA, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE VIRDIS GRAY MD (PHYSICIAN OWNER)
(704) 896-3313
Entity
Organization

Contact information

Practice address
16511 NORTHCROSS DR, SUITE A, HUNTERSVILLE, NC 28078
(704) 896-3313
(704) 896-8193
Mailing address
16511 NORTHCROSS DR STE A, HUNTERSVILLE, NC 28078-5021
(704) 896-3313
(704) 896-8193

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
07/25/2017
Last updated
11/14/2023
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