Provider Demographics
NPI:1366923898
Name:PREMIER PAIN SOLUTIONS PLLC
Entity type:Organization
Organization Name:PREMIER PAIN SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAVID
Authorized Official - Middle Name:MU'AZ
Authorized Official - Last Name:BAKSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-221-0121
Mailing Address - Street 1:5710 OLEANDER DR STE 201
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-4722
Mailing Address - Country:US
Mailing Address - Phone:833-365-7246
Mailing Address - Fax:877-296-5238
Practice Address - Street 1:155 W MILLS ST STE 204
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722-9462
Practice Address - Country:US
Practice Address - Phone:828-221-0222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-23
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty