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Organization

PIEDMONT INTERVENTIONAL PAIN CARE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT BRUCE WILSON II M.D. (PRESIDENT)
(704) 797-0065
Entity
Organization

Contact information

Practice address
320 JAKE ALEXANDER BLVD W, SUITE 103, SALISBURY, NC 28147-1442
(704) 797-0065
(704) 797-0067
Mailing address
PO BOX 72, SPENCER, NC 28159-0072
(704) 797-0065
(704) 797-0067

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
9601527
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5902363
NC
Enumeration date
06/17/2006
Last updated
11/12/2008
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