Interventional Pain Management of Lake Norman Pllc
NPI #1992003339 in Mooresville, North Carolina
Provider Information
- NPI Number
- 1992003339
- Entity Type
- Organization
- Organization Name
- Interventional Pain Management of Lake Norman Pllc
- Primary Specialty
- Pain Medicine - Interventional Pain Medicine
- Enumeration Date
- Mar 9, 2011
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 170 MEDICAL PARK RD
- Address 2
- SUITE 301
- City
- Mooresville
- State
- North Carolina
- ZIP Code
- 28117-8540
- Phone
- (704) 360-4378
Authorized Official
- Name
- DR. WILLIAM J EDMISTON JR., MD
- Title
- OWNER
- Phone
- (704) 360-4378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
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