OrganizationActive
Interventional Pain Center, PLLC
NPI 1790220408 · Pain Medicine (Anesthesiology) Physician · Lumberton, NC
Provider details
- NPI number
- 1790220408
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shaneka Tinch, Rcm Manager(469) 458-9222
- License
- 200100673 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4320 Fayetteville Rd
Suite a
Lumberton, NC 28358-2706
Phone: (910) 738-9599
Fax: (910) 738-9549
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 931038
Atlanta, GA 31193-1038
Registry dates
- Enumerated
- 2017-01-04
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.