| NPI | 1376902775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHID IDRISSI Physician Owner 910-339-8475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |