Organization
PAIN MANAGEMENT & ANESTHESIOLOGY ASSOCIATES LLC
Active
Organization
PAIN MANAGEMENT & ANESTHESIOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DAVID HORD M.D. (PARTNER)
(704) 377-1647
Entity
Organization
Contact information
Practice address
2825 RANDOLPH RD, CHARLOTTE, NC 28211-1075
(704) 377-1647
(559) 354-4235
Mailing address
PO BOX 5615, FRESNO, CA 93755-5615
(800) 436-1018
(559) 354-4235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NC
367500000X
Certified Registered Nurse Anesthetist
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0219C
BLUE CROSS BLUE SHIELD
NC
05
—
8000323
—
NC
05
—
89014FK
—
NC
01
—
CK4257
RAILROAD MEDICARE
NC
Enumeration date
01/31/2006
Last updated
01/19/2010
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