Integrated Pain & Injury Center, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

29197 Issued in NC

Legal business name

INTEGRATED PAIN & INJURY CENTER, PLLC

Practice address

812 Candy Park Rd
Suite 6103
Pembroke, NC 28372-9129

Phone

(910) 521-3093

Fax

(910) 521-3095

NPI assigned

Aug 10, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lora K Oxendine

Title

Office Manager

Phone

(910) 521-3093

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1003048059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2219",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283722219",
            "telephone_number": "910-521-3093",
            "fax_number": "910-521-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CANDY PARK RD",
            "address_2": "SUITE 6103",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729129",
            "telephone_number": "910-521-3093",
            "fax_number": "910-521-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PAIN & INJURY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "OXENDINE",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-521-3093"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "29197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Pembroke, NC
• Providers in Pembroke, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.