Basic Information
| Provider Information | |||||||||
| NPI: | 1134454853 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CAROLINA PAIN ASSOCIATES, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1844 | ||||||||
| Address2: | |||||||||
| City: | BRYSON CITY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287131844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043473447 | ||||||||
| FaxNumber: | 7043473440 | ||||||||
| Practice Location | |||||||||
| Address1: | 1900 RANDOLPH RD STE 1016 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282071117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043473447 | ||||||||
| FaxNumber: | 7043473440 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/14/2009 | ||||||||
| LastUpdateDate: | 07/05/2019 | ||||||||
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| AuthorizedOfficialLastName: | ARONOFF | ||||||||
| AuthorizedOfficialFirstName: | GERALD | ||||||||
| AuthorizedOfficialMiddleName: | MARTIN | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7043473447 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.