Healthcare Provider Details

I. General information

NPI: 1700353182
Provider Name (Legal Business Name): COMPREHENSIVE PAIN CONSULTANTS OF THE CAROLINAS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2018
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 HOWARD GAP RD
FLETCHER NC
28732-9560
US

IV. Provider business mailing address

310 OVERLOOK RD STE B
ASHEVILLE NC
28803-3319
US

V. Phone/Fax

Practice location:
  • Phone: 828-483-4330
  • Fax:
Mailing address:
  • Phone: 828-483-5788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: EDWARD ALAN LEWIS
Title or Position: OWNER
Credential:
Phone: 828-438-5788