OrganizationActive
Advanced Spine and Pain Center, P.A.
NPI 1376902775 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Fayetteville, NC
Provider details
- NPI number
- 1376902775
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rachid Idrissi, Physician Owner(910) 339-8475
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Practice location
518 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone: (910) 339-8475
Approximate (ZIP-level) locationGet directions
Mailing address
518 Sandhurst Dr
Fayetteville, NC 28304-4426
Registry dates
- Enumerated
- 2016-02-15
- Last updated
- 2016-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.