INSTITUTE FOR SPINAL PAIN TREATMENT NPI 1508922865

NPI Information

INSTITUTE FOR SPINAL PAIN TREATMENT is a pain clinic center in Hattiesburg, MS. INSTITUTE FOR SPINAL PAIN TREATMENT NPI is 1508922865. The provider is registered as an organization entity type.

The provider's business location address is:

1 LINCOLN PARKWAY
SUITE 106
HATTIESBURG, MS
ZIP 39402
Phone: (601) 264-2115
Fax: (601) 264-1519

The provider's authorized official is David L. Mckellar .
The authorized official title is Ceo/medical Director and has the following contact phone number (601) 264-2115.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 1/20/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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