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Organization

CAROLINA PAIN CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN KENNETH BROCKMAN MD PHD (PHYSICAN/OWNER)
(704) 481-7713
Entity
Organization

Contact information

Practice address
1112 YANCEY ST, SHELBY, NC 28150-3672
(704) 481-7713
(704) 481-7663
Mailing address
1112 YANCEY ST, SHELBY, NC 28150-3672
(704) 481-7713
(704) 235-1971

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
33212
NC
208VP0000X
Pain Medicine Physician
33212
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982129136
NC
Enumeration date
08/09/2017
Last updated
04/23/2019
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