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Contact Information

PHYSICIANS PAIN AND SPINE SPECIALISTS
14986 ANGELA DR
GULFPORT, MS39503-3502
 Phone: 228-357-5464
 Fax: 877-563-0603
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for PHYSICIANS PAIN AND SPINE SPECIALISTS

NPI Number 1639417819
LBN Legal business name PHYSICIANS PAIN AND SPINE SPECIALISTS
Authorized official SHAWN WU - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2013
Last updated 01/18/2021 - About 5 years ago
Identifiers
MS License # 18988
MS Medicaid 05482375
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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