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NPI Code Detail

MEDICARE: AMERICAN PAIN ASSOCIATES

MEDICARE: AMERICAN PAIN ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1134653991
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN PAIN ASSOCIATES
Provider Business Mailing Address
First Line : 695 S BENNETT ST
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-5919
Country : US
Telephone Number : 910-687-6187
Fax Number : 888-491-3133
Provider Business Practice Location Address
First Line : 695 S BENNETT ST
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-5919
Country : US
Telephone Number : 910-687-6187
Fax Number : 888-491-3133
Authorized Official
Title or Position : VICE PRESIDENT OF OPERATIONS
Name : EDWARD JAMES ROSS III
Credential : MBA
Telephone Number : 910-687-6187
Provider Enumeration Date : 04/18/2017
Last Update Date : 04/18/2017

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Directions to “AMERICAN PAIN ASSOCIATES ” Practice Location

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