| Organization Name: | INTEGRATED PAIN & INJURY CENTER, PLLC |
| NPI Number: | 1003048059 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORA K OXENDINE (OFFICE MANAGER) |
| Mailing Address: | 812 Candy Park Rd Suite 6103 Pembroke |
| State: | NC US |
| Postal Code: | 283729129 |
| Phone Number: | 9105213093 |
| Fax Number: | 9105213095 |
| NPI Enumeration Date: | 08/10/2009 |
| NPI Last Update Date: | 12/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 29197 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |