Triad Interventional Pain Center, Pa in Kernersville - Interventional Pain Medicine

Triad Interventional Pain Center, Pa - NPI 1306013628

Triad Interventional Pain Center, Pa is a Interventional Pain Medicine in Kernersville, North Carolina. Triad Interventional Pain Center, Pa practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Triad Interventional Pain Center, Pa is 1306013628. The last update date is 2008-10-23.

Triad Interventional Pain Center, Pa's current location address is 900 Old Winston Rd, Kernersville, North Carolina. You can contact this provider via phone number 7046457196 and fax number 7046580418. The mailing address for Triad Interventional Pain Center, Pa is 900 Old Winston Rd, Kernersville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Triad Interventional Pain Center, Pa
Address 900 Old Winston Rd, Kernersville, North Carolina
Phone Number 7046457196
Fax Number 7046580418
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Garvin V Tarsha
Credentials M.D.
Telephone Number 7046457196

NPI Number Detail

NPI Number 1306013628
Provider Enumeration Date 2008-05-15
Last Updated Date 2008-10-23

Provider Mailing Address Detail

Address 900 Old Winston Rd
City Kernersville
State North Carolina (NC)
Post Code 272849964
Phone Number 7046457196
Fax Number 7046580418

Provider's Primary Taxonomy Detail

Speciality Interventional Pain Medicine
Taxonomy 208Vp0014X
Licence No 2005-00043
Definition:
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5950096 NC --
1380R NC BCBSNC

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FAQs about Triad Interventional Pain Center, Pa

What is the unique identifier code issued to Triad Interventional Pain Center, Pa by the Centers for Medicare & Medicaid Services (CMS)?

The Triad Interventional Pain Center, Pa has been assigned the NPI (National Provider Identifier) 1306013628. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Triad Interventional Pain Center, Pa is physically located?

The Triad Interventional Pain Center, Pa is physically situated at the following address: 900 Old Winston Rd, Kernersville, NC, 272849964.

What is Triad Interventional Pain Center, Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Triad Interventional Pain Center, Pa is Interventional Pain Medicine, and the taxonomy code that categorizes this field of expertise is 208Vp0014X.

On what date did the Centers for Medicare & Medicaid Services issue the 1306013628 to Triad Interventional Pain Center, Pa?

The Triad Interventional Pain Center, Pa received its 1306013628 assignment from the Centers for Medicare & Medicaid Services on 2008-05-15.

When was the Triad Interventional Pain Center, Pa's information last updated?

The Triad Interventional Pain Center, Pa's information was last updated on 2008-10-23.

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