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Contact Information

SOUTHERN INTERVENTIONAL PAIN SPECIALISTS JACKSON, PLLC
1 LAYFAIR DR STE 400
FLOWOOD, MS39232-9717
 Phone: 601-720-0205
 Fax: 601-720-0205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for SOUTHERN INTERVENTIONAL PAIN SPECIALISTS JACKSON PLLC · (Female)

NPI Number 1750250577
Status Active
Credentials
Entity Individual
Enumeration date 10/30/2025
Last updated 10/30/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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