Advanced Spine and Pain Center, P.a.
Organization Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Benson, NC
NPI 1255799375 · NPPES record last updated May 17, 2016
Key facts
- NPI
- 1255799375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
- License
- 2007-00587 (NC)
- Legal business name
- ADVANCED SPINE AND PAIN CENTER, P.A.
- Practice address
- 1 Medical Dr
Benson, NC 27504-1177 - Phone
- (919) 894-1740
- NPI assigned
- Feb 3, 2016
- Organization subpart
- No
Authorized official
- Name
- Rachid Idrissi
- Title
- Member Owner
- Phone
- (919) 359-8643
Corporate family (same tax ID) 2
Practitioners 1
-
Rachid Idrissi, M.D.
National Provider Directory
- Tax ID family
- Advanced Spine and Pain Center PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician |
2081P2900X | 2007-00587 | NC | Yes |
| Pain Medicine Physician |
208VP0000X | 2007-00587 | NC |
Addresses
Primary practice location
1 Medical Dr
Benson, NC 27504-1177
Mailing address
166 Springbrook Ave
Suite 105
Clayton, NC 27520-8520
Other providers in Benson, NC
- A1A - the Arc of Benson, LLC
- Aava Inc
- Aava Inc
- Myron Daniel Adams
- William C Adams
- Advanced Spine and Pain Center, P.a.
- Lataronette Alford
- Alfordable Homecare, LLC
- Mercedes Alleyne
- Hilda M Alvarez
All providers in Benson, NC · Pain Medicine (Physical Medicine & Rehabilitation) Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.