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Contact Information

ADVANCED PAIN THERAPY, PLLC
301 S 28TH AVE
HATTIESBURG, MS39401-7233
 Phone: 601-288-7230
 Fax: 601-288-7234
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ADVANCED PAIN THERAPY PLLC · (Female)

NPI # 1720160104
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 17817
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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