NPIMap

Wake Spine and Pain Specialists, PC

Organization Active NPI Pain Medicine (Anesthesiology) Physician · Garner, NC

NPI 1720528243 · NPPES record last updated Jun 25, 2020

Key facts

NPI
1720528243
Entity type
Organization (NPI type 2)
Primary specialty
Pain Medicine (Anesthesiology) Physician 207LP2900X
Legal business name
WAKE SPINE AND PAIN SPECIALISTS, PC
Practice address
510 Timber Dr E Ste 105
Garner, NC 27529-4689
Phone
(919) 787-7246
Fax
(919) 787-7247
NPI assigned
Mar 2, 2017
Organization subpart
Yes
Parent organization (as reported)
WAKE SPINE AND PAIN SPECIALISTS, PC

Authorized official

Name
Bernadette Mauceri
Title
Office Manager
Phone
(919) 787-7246

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

National Provider Directory

Part of
Wake Spine Pain Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207LP2900X Yes

Addresses

Primary practice location

510 Timber Dr E Ste 105
Garner, NC 27529-4689

Mailing address

3801 Wake Forest Rd Ste 210
Raleigh, NC 27609-6864
Phone (919) 787-7246

Other practice location 1

958 Vandora Springs Rd
Garner, NC 27529-3544
Phone (919) 787-7246

Other providers in Garner, NC

All providers in Garner, NC · Pain Medicine (Anesthesiology) Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.