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Contact Information

MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC
3037 CORDER DR
CORINTH, MS38834-6216
 Phone: 662-284-8565
 Fax: 662-594-8366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Chiropractor

111N00000X 35 Chiropractic
 

Family

363LF0000X 50 Nurse Practitioner
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC · (Female)

NPI # 1477808657
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2012
Last updated 06/27/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 1113
  • MS License # 14758
  • TN License # 2148
  • TN License # 29331
  • TN License # 687
  • TN License # 8118957
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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