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Contact Information

CAROLINAS PAIN INSTITUTE, PA
145 KIMEL PARK DR
SUITE 330
WINSTON-SALEM, NC27103-6984
 Phone: 336-765-6181
 Fax: 336-765-8492
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for CAROLINAS PAIN INSTITUTE PA · (Female)

NPI # 1376598268
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2006
Last updated 08/02/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 30458
  • NC Medicaid 5902221
  • NC Medicaid 7970536
  • Other 70536 BCBS
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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