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Contact Information

LEONEL K VANCE, MD
129 FOUNTAINS BLVD
STE 201
MADISON, MS39110
 Phone: 769-300-0730
 Fax: 769-300-0734
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for LEONEL K VANCE · (Male)

NPI # 1669507943
Status Active
Credentials MD
Entity Individual
Enumeration date 02/23/2007
Last updated 10/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 16855
  • MS Medicaid 2389791
Hospital affiliation(s)
  • MISSISSIPPI BAPTIST MEDICAL CENTER - (Acute Care)
    1225 N STATE ST
    JACKSON, MS 39202
  • RIVER OAKS HOSPITAL - (Acute Care)
    1030 RIVER OAKS DRIVE
    FLOWOOD, MS 39232
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
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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