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Contact Information

MS PMR & PMC, PLLC
144 S THOMAS ST
BUILDING 1, SUITE 101-2
TUPELO, MS38801-5312
 Phone: 662-841-8830
 Fax: 662-841-8832
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MS PMR & PMC, PLLC

NPI # 1619178100
LBN Legal business name MS PMR & PMC, PLLC
Authorized official BRUCE PORTER - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/30/2007
Last updated 07/21/2008 - About 18 years ago
Identifiers
MS License # 18599
MS Medicaid 05458278
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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