Organization
PREMIER PAIN PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY B SHAH M.D. (OWNER)
(910) 987-2571
Entity
Organization
Contact information
Practice address
1782 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 339-7951
(910) 339-7952
Mailing address
1782 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 339-7951
(910) 339-7952
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/28/2022
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