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Contact Information

DYNAMIC HEALTH AND PAIN MANAGEMENT, PLLC
4707 SOUTH BLVD
CHARLOTTE, NC28217-2117
 Phone: 704-525-6288
 Fax: 704-525-6384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for DYNAMIC HEALTH AND PAIN MANAGEMENT, PLLC

NPI Number 1538452982
LBN Legal business name DYNAMIC HEALTH AND PAIN MANAGEMENT, PLLC
Authorized official HEIDI COX - (SECRETARY/TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2011
Last updated 05/09/2017 - About 9 years ago
Identifiers
NC License # 222692
NC License # 9900407
NC Other 6558080001 MEDICARE DME PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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