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Contact Information

BROOKHAVEN ANESTHESIA & PAIN MANAGEMENT
1024 D A BIGLANE DR
BROOKHAVEN, MS39601-2331
 Phone: 660-826-5960
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BROOKHAVEN ANESTHESIA PAIN MANAGEMENT · (Female)

NPI # 1689659864
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2005
Last updated 02/25/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Other DF0416 RR MEDICARE
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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