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Contact Information

PAIN CLINIC ASSOCIATES PLLC
7600 AIRWAYS BLVD STE A
SOUTHAVEN, MS38671-5138
 Phone: 901-747-0040
 Fax: 901-747-0038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for PAIN CLINIC ASSOCIATES PLLC · (Female)

NPI Number 1306496567
Status Active
Credentials
Entity Individual
Enumeration date 09/18/2019
Last updated 03/15/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Other 1306496567 NPI
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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