Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wake Spine and Pain Specialists, PC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1336738632

Wake Spine and Pain Specialists, PC is a Pain Medicine (Anesthesiology) Physician in Fayetteville, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1357 Walter Reed Rd Ste 101
Fayetteville, NC 28304-4417
Phone: (919) 787-7246
Fax: (919) 787-7247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1336738632
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWake Spine and Pain Specialists, PC
Authorized official Vijaysinha Mandhare — Medical Director · (919) 787-7246
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021
Mailing address3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864

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