Healthcare Provider Details

I. General information

NPI: 1457817413
Provider Name (Legal Business Name): PAIN RELIEF CENTERS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2019
Last Update Date: 02/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 COMMERCE ST SW
CONOVER NC
28613-8249
US

IV. Provider business mailing address

PO BOX 2065
BRYSON CITY NC
28713-5065
US

V. Phone/Fax

Practice location:
  • Phone: 828-261-0467
  • Fax: 828-267-0599
Mailing address:
  • Phone: 828-449-8610
  • Fax: 828-538-4441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: HANS CHRISTIAN HANSEN
Title or Position: MD/OWNER
Credential: MD
Phone: 828-261-0467