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Contact Information

ADVANCED SPORTS & SPINE, PLLC
8035 PROVIDENCE RD
#340
CHARLOTTE, NC28277-9716
 Phone: 704-542-3988
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ADVANCED SPORTS & SPINE, PLLC

NPI # 1629422738
LBN Legal business name ADVANCED SPORTS & SPINE, PLLC
Authorized official USMAN AHMAD - (SOLE MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2016
Last updated 04/12/2018 - About 8 years ago
Identifiers
NC License # 2015-01401
NC Medicaid 1629422738
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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