Providence Pain, Spine & Recovery, PLLC
Anesthesiology, Pain Medicine in Smithfield, NC. Organization (NPI-2).
NPI number1316482201
StatusActive
Last updated in NPPESApr 25, 2019
Details
- NPI
- 1316482201
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Pain, Spine & Recovery, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 30, 2016
- Last updated
- Apr 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | 181038 | NC | Yes |
Practice location
7 Berkshire RdSmithfield, NC 27577
Phone 919-596-3400
Mailing address
8311 Brier Creek PkwySte 105-78
Raleigh, NC 27617
Phone 919-596-3400
Authorized official
Melissa May Zeches
Practice Administrator
9195963400
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