MISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC is a specialist in Slidell, LA. The provider is 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. MISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC NPI is 1508426917. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2053 GAUSE BLVD E STE 200
SLIDELL, LA
ZIP 70461-451
Phone: (985) 259-8045
Fax: (601) 499-0936
The provider's authorized official is Spencer K Sullivan .
The authorized official title is Ceo/owner and has the following contact phone number (601) 499-0935.
The CLIA number assigned to this NPI record is 25D2118551 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 6/18/2019 and was last updated on 6/18/2019.