Provider Demographics
NPI:1457693335
Name:CAROLINA PAIN CENTER, P.C
Entity Type:Organization
Organization Name:CAROLINA PAIN CENTER, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SWIBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-554-2383
Mailing Address - Street 1:4251 ARENDELL ST STE B
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2871
Mailing Address - Country:US
Mailing Address - Phone:252-222-3340
Mailing Address - Fax:252-222-3245
Practice Address - Street 1:4251 ARENDELL ST STE B
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2871
Practice Address - Country:US
Practice Address - Phone:252-222-3340
Practice Address - Fax:252-222-3245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-01843261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
1730150541OtherNPI OF MATTHEW SWIBER, MD