Carolina Pain Care PC
Anesthesiology, Pain Medicine in Shelby, NC. Organization (NPI-2).
NPI number1982129136
StatusActive
Last updated in NPPESApr 23, 2019
Details
- NPI
- 1982129136
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Pain Care PC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2017
- Last updated
- Apr 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | 33212 | NC | Yes |
| 208VP0000X | 33212 | NC |
Practice location
1112 Yancey StShelby, NC 28150-3672
Phone 704-481-7713 · Fax 704-481-7663
Mailing address
1112 Yancey StShelby, NC 28150-3672
Phone 704-481-7713 · Fax 704-235-1971
Other practice locations
141 Laurel Hill Dr Ste 3
Rutherfordton, NC 28139-3320
Rutherfordton, NC 28139-3320
Phone 828-286-2603 · Fax 828-395-2277
Authorized official
Steven Kenneth Brockman
Physican/Owner
7044817713
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