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Contact Information

PAINSTOP SPINE CLINIC, LLC
3003 SHORTCUT RD
PASCAGOULA, MS39567-1810
 Phone: 228-273-4096
 Fax: 228-594-1765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PAINSTOP SPINE CLINIC LLC · (Female)

NPI # 1558666149
Status Active
Credentials
Entity Individual
Enumeration date 01/13/2011
Last updated 01/07/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 00057070
  • MS Other 30270G0134 MCR PTAN GROUP
  • MS Other DT9919 RAILROAD MEDICARE, GROUP PTAN
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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