Provider profile · NPI 1669663175
Addiction Recovery Medical Services - Providers
Anesthesiology, Pain Medicine · Statesville, NC · NPI 1669663175 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
Aug 8, 2007
License(s)
9300179 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 536 SIGNAL HILL DR EXT | Statesville, NC 28625 | 704-872-0234 |
| MAILING | PO BOX 1545 | Statesville, NC 28687 | 704-880-4612 |
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