| Pain Management Clinic | |
|
4308 Ludgate St Lumberton NC 28358-2461 | |
| (910) 671-9298 | |
| (910) 738-3764 |
| Full Name | Pain Management Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 4308 Ludgate St, Lumberton, North Carolina |
| Authorized Official Name and Position | Charles T. Johnson (CFO) |
| Authorized Official Contact | 9106715090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain Management Clinic 2600 N Elm St Lumberton NC 28358-3011 Ph: (910) 272-3051 | Pain Management Clinic 4308 Ludgate St Lumberton NC 28358-2461 Ph: (910) 671-9298 |
| NPI Number | 1053548016 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 06/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053548016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | H0064 (North Carolina) | Primary |
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