National Provider Identifier Database

MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC
3037 CORDER DR
CORINTH, MS38834-6216
Phone: 662-284-8565
Fax: 662-594-8366
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Chiropractor 111N00000X
Family 363LF0000X
Interventional Pain Medicine 208VP0014X

* Indicates primary specialty

NPI Profile & details for MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC

NPI Number 1477808657
Legal business name
LBN
MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC
Authorized official BRENT GRIMES - (PARTNER)
Entity Organization
Organization subpart No
Enumeration date 07/13/2012
Last updated 06/27/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 1113
  • MS License #: 14758
  • TN License #: 2148
  • TN License #: 29331
  • TN License #: 687
  • TN License #: 8118957

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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