NPI 1992003339

Interventional Pain Management of Lake Norman PLLC

Organisation Interventional Pain Medicine Physician Mooresville, NC

Practice location

Address: 170 Medical Park Rd Suite 301, Mooresville, NC 28117-8540
Phone: (704) 360-4378

Authorised official

Name: William J Edmiston
Title: Owner
Phone: (704) 360-4378

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 200000410 (NC)

Other Pain Medicine providers in North Carolina →

Registry record

NPI: 1992003339
Entity type: Organization
NPI issued: 9 Mar 2011
Record last updated: 7 Mar 2023

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.