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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Chiropractor |
111N00000X | 35 | Chiropractic | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Interventional Pain Medicine |
208VP0014X | 09 | Physician/Interventional Pain Management |
| NPI Number | 1477808657 |
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| LBN Legal business name | MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC | ||||||||||||||||||||||||
| Authorized official | BRENT GRIMES - (PARTNER) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 07/13/2012 | ||||||||||||||||||||||||
| Last updated | 06/27/2023 - About 3 years ago | ||||||||||||||||||||||||
| Identifiers |
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MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC