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Contact Information

COMPREHENSIVE PAIN CENTER OF MISSISSIPPI
129 FOUNTAINS BLVD
MADISON, MS39110
 Phone: 769-300-0730
 Fax: 601-949-2782
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for COMPREHENSIVE PAIN CENTER OF MISSISSIPPI · (Female)

NPI # 1124275565
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2008
Last updated 03/05/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 16855
  • MS Medicaid 2389791
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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