Organization
CAROLINA CENTER FOR PAIN P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HENDRIX (RECEPTIONIST)
(910) 295-3200
Entity
Organization
Contact information
Practice address
293 OLMSTED BLVD STE 4, PINEHURST, NC 28374-9023
(910) 295-3200
(910) 295-3222
Mailing address
293 OLMSTED BLVD STE 4, PINEHURST, NC 28374-9023
(910) 295-3200
(910) 295-3222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9801061
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011U1
BCBS GROUP NUMBER
NC
05
—
8911783
—
NC
Enumeration date
07/05/2006
Last updated
05/23/2013
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