NPI 1003550443
Wake Spine and Pain Specialists, PC
Practice location
- Address
- 1511 Westover Ter STE 107, Greensboro, NC 27408-7122
- Phone
- (336) 398-5155
- Fax
- (336) 398-5156
- Mailing address
- 3801 Wake Forest Rd STE 210, Raleigh, NC 27609-6864
Authorised official
- Name
- Vijaysinha Mandhare
- Title
- Medical Director
- Phone
- (919) 787-7246
Registered specialties
Pain Medicine (Anesthesiology) Physician
Primary
Registry record
- NPI
- 1003550443
- Entity type
- Organization
- NPI issued
- 22 Apr 2022
- Record last updated
- 22 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.