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Contact Information

MISSISSIPPI PAIN MANAGEMENT
1 LAYFAIR DR
STE 400
JACKSON, MS39232-9717
 Phone: 601-932-0238
 Fax: 601-932-4391
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for MISSISSIPPI PAIN MANAGEMENT · (Female)

NPI # 1982811097
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 9016049
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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