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Contact Information

CAROLINA PAIN CARE PC
1112 YANCEY ST
SHELBY, NC28150-3672
 Phone: 704-481-7713
 Fax: 704-481-7663
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for CAROLINA PAIN CARE PC

NPI Number 1982129136
LBN Legal business name CAROLINA PAIN CARE PC
Authorized official STEVEN BROCKMAN - (PHYSICAN/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2017
Last updated 04/23/2019 - About 7 years ago
Identifiers
NC License # 33212
NC Medicaid 1982129136
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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