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Contact Information

JACKSON PAIN CENTER PA
1151 N STATE ST
SUITE 311
JACKSON, MS39202-2407
 Phone: 601-355-7246
 Fax: 601-969-1173
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for JACKSON PAIN CENTER PA

NPI # 1962823344
LBN Legal business name JACKSON PAIN CENTER PA
Authorized official JOHN DODD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2014
Last updated 07/21/2014 - About 12 years ago
Identifiers
MS License # 10764
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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