Organization
WAKE SPINE AND PAIN SPECIALISTS, PC
Active
Parent organization
WAKE SPINE AND PAIN SPECIALISTS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAKE SPINE AND PAIN SPECIALISTS, PC
Authorized official
BERNADETTE MAUCERI (OFFICE MANAGER)
(919) 787-7246
Entity
Organization
Contact information
Practice address
510 TIMBER DR E STE 105, GARNER, NC 27529-4689
(919) 787-7246
(919) 787-7247
Mailing address
3801 WAKE FOREST RD STE 210, RALEIGH, NC 27609-6864
(919) 787-7246
(919) 787-7247
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
06/25/2020
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