Organization
ROCKY MOUNT PAIN AND SPINE
Active
Other names
Brier Creek Integrated Pain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CARLSON (ADMINISTRATIVE COORDINATOR)
(252) 200-5180
Entity
Organization
Contact information
Practice address
7780 BRIER CREEK PKWY, 200, RALEIGH, NC 27617-7849
(919) 596-3400
(919) 596-3499
Mailing address
121 ENTERPRISE DR, ROCKY MOUNT, NC 27804-9516
(252) 200-5180
(252) 200-5186
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
141911
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141911
STATE LICENSE
NC
05
—
5915893
—
NC
Enumeration date
04/02/2012
Last updated
04/02/2012
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