Active NPI
Spine, Neuromuscular and Pain Clinic PLLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Raleigh, NC
National Provider Identifier
1447628904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 200301497
- Legal business name
- SPINE, NEUROMUSCULAR AND PAIN CLINIC PLLC
- Practice address
- 8009 Creedmoor Rd
Suite 202
Raleigh, NC 27613-4393 - Phone
- (919) 846-7246
- NPI assigned
- Sep 14, 2015
- Last updated
- Sep 14, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Audrey Hamlin
- Title
- Office Manager
- Phone
- (586) 212-2004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 200301497 | NC | Primary |
Addresses
Primary practice location
8009 Creedmoor Rd
Suite 202
Raleigh, NC 27613-4393
Mailing address
7810 Green Mill Dr
Raleigh, NC 27616-8386
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442188800000",
"number": "1447628904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7810 GREEN MILL DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276168386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8009 CREEDMOOR RD",
"address_2": "SUITE 202",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276134393",
"telephone_number": "919-846-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE, NEUROMUSCULAR AND PAIN CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-14",
"last_updated": "2015-09-14",
"status": "A",
"authorized_official_last_name": "HAMLIN",
"authorized_official_first_name": "AUDREY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "586-212-2004"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NC",
"license": "200301497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.