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Contact Information

JACKSON ANESTHESIA PAIN CENTER, LLC
1190 N STATE ST
SUITE 300
JACKSON, MS39202-2413
 Phone: 601-709-0607
 Fax: 601-709-2110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for JACKSON ANESTHESIA PAIN CENTER, LLC

NPI # 1104166362
LBN Legal business name JACKSON ANESTHESIA PAIN CENTER, LLC
Authorized official CARROLL MCLEOD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2013
Last updated 02/26/2013 - About 13 years ago
Identifiers
MS License # 12138
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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