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ATLANTIC PAIN MANAGEMENT & REHABILITATION P.C.

Physicians Physical Medicine & Rehabilitation

Provider NPI: 1568529303

Organization Information:
Organization Name:  ATLANTIC PAIN MANAGEMENT & REHABILITATION P.C.
Organization is not Subpart
Authorized Official:  THEODORE W NICHOLAS  PHYSICIAN  252-261-5868

Practice Location:
3210 N. CROATAN HWY BUILDING 3 SUITE 3  KILL DEVIL HILLS, NC 27948 US
Tel: 252-261-5868  Fax: 252-441-7793

Business Mailing Address:
3210 N. CROATAN HWY BUILDING 3 SUITE 3  KILL DEVIL HILLS, NC 27948 US
Tel: 252-261-5868  Fax: 252-441-7793

NPI Information:
NPI: 1568529303
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208100000XPhysicians
Physical Medicine & Rehabilitation
NC2002-0059

Other Provider Identifiers:

IssuerNumberStateType
BC BS NC018V5NC01



American Medical Association 2012 taxonomy code information

Code: 208100000X

Type:

Classification:



Definition:



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