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Contact Information

PHYSICIANS PAIN AND SPINE SPECIALISTS
14986 ANGELA DR
GULFPORT, MS39503-3502
 Phone: 228-357-5464
 Fax: 877-563-0603
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for PHYSICIANS PAIN AND SPINE SPECIALISTS · (Female)

NPI Number 1639417819
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2013
Last updated 01/18/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 18988
  • MS Medicaid 05482375
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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