National Provider Identifier Database

MISSISSIPPI NEUROLOGY CENTER PA
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

MISSISSIPPI NEUROLOGY CENTER, PA
1020 RIVER OAKS DR
SUITE 420
FLOWOOD, MS39232-9500
Phone: 601-939-4198
Fax: 601-939-4120
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X

* Indicates primary specialty

NPI Profile & details for MISSISSIPPI NEUROLOGY CENTER, PA

NPI Number 1144327420
Legal business name
LBN
MISSISSIPPI NEUROLOGY CENTER, PA
Authorized official ADELE THIEL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/20/2006
Last updated 05/06/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 12161
  • MS Medicaid: 09013832

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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