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Contact Information

PROVIDENCE PAIN, SPINE & RECOVERY, PLLC
7 BERKSHIRE RD
SMITHFIELD, NC27577
 Phone: 919-596-3400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for PROVIDENCE PAIN SPINE RECOVERY PLLC · (Female)

NPI # 1316482201
Status Active
Credentials
Entity Individual
Enumeration date 12/30/2016
Last updated 04/25/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 181038
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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