Performance Spine & Sports Specialists, PA
NPI #1366761793 in Greensboro, North Carolina
Provider Information
- NPI Number
- 1366761793
- Entity Type
- Organization
- Organization Name
- Performance Spine & Sports Specialists, PA
- Primary Specialty
- Physical Medicine & Rehabilitation - Pain Medicine
- Enumeration Date
- May 25, 2010
- Last Updated
- Dec 1, 2014
Practice Location
- Address
- 1507 WESTOVER TER STE B
- Address 2
- SUITE A
- City
- Greensboro
- State
- North Carolina
- ZIP Code
- 27408-7121
- Phone
- (336) 501-3796
Authorized Official
- Name
- DR. SHAWN DALTON-BETHEA, M.D.
- Title
- PRESIDENT
- Phone
- (336) 501-3796
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
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