OrganizationActive
Advanced Interventional Pain Management, PA
NPI 1982669339 · Pain Medicine (Anesthesiology) Physician · Winston Salem, NC
Provider details
- NPI number
- 1982669339
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Johnette Shultz, Cfo, Practice Administrator(336) 714-6406
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
160 Kimel Forest Dr
Suite100
Winston Salem, NC 27103-6074
Phone: (336) 714-6400
Fax: (336) 714-6402
Approximate (ZIP-level) locationGet directions
Mailing address
160 Kimel Forest Dr
Winston Salem, NC 27103-6074
Registry dates
- Enumerated
- 2006-04-19
- Last updated
- 2010-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.