OrganizationActive
Advanced Spine and Pain Center, P.A.
NPI 1255799375 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Benson, NC
Provider details
- NPI number
- 1255799375
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Rachid Idrissi, Member Owner
- License
- 2007-00587 (NC)
Mailing address
166 Springbrook Ave
Clayton, NC 27520-8520
Registry dates
- Enumerated
- 2016-02-03
- Last updated
- 2016-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.