THE PAIN CLINIC OF MISSISSIPPI PLLC NPI 1063786036

NPI Information

THE PAIN CLINIC OF MISSISSIPPI, PLLC is a family nurse practitioner in Jackson, MS. THE PAIN CLINIC OF MISSISSIPPI, PLLC NPI is 1063786036. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5903 RIDGEWOOD RD
SUITE 440
JACKSON, MS
ZIP 39211-700
Phone: (601) 899-3989
Fax: (601) 899-3504

The provider's authorized official is Duane Williamson .
The authorized official title is President and has the following contact phone number (601) 899-3989.

The enumeration date for this NPI number is 3/8/2012 and was last updated on 3/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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