Organization
PAIN AND LASER CENTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE APPLING (OFFICE MANAGER)
(910) 223-7246
Entity
Organization
Contact information
Practice address
1840 OWEN DRIVE, SUITE 103, FAYETTEVILLE, NC 28304-3455
(910) 223-7246
(910) 223-7247
Mailing address
PO BOX 40107, FAYETTEVILLE, NC 28309-0107
(910) 223-7246
(910) 223-7247
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
200200534
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907002
—
NC
05
—
89132E7
—
NC
Enumeration date
06/11/2007
Last updated
03/16/2012
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