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Contact Information

WILLOW PAIN AND WELLNESS, LLC
2215 JEFFERSON DAVIS DR
OXFORD, MS38655-5221
 Phone: 662-638-0462
 Fax: 866-658-0083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain

261QP3300X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for WILLOW PAIN AND WELLNESS, LLC

NPI # 1093188096
LBN Legal business name WILLOW PAIN AND WELLNESS, LLC
Authorized official KIRK KINARD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/12/2015
Last updated 07/01/2024 - More than a year ago
Identifiers n/a
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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