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PAIN MANAGEMENT CENTER OF NORTH NPI 1811928724


NPI Information

NPI: 1811928724
Provider Name: PAIN MANAGEMENT CENTER OF NORTH

Doing Business As: PAIN MANAGEMENT CENTER OF N MS PLLC

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
2089 SOUTHRIDGE DR
TUPELO, MS
ZIP 38801
Phone: (662) 407-0801
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PAIN MANAGEMENT CENTER OF NORTH is a pain clinic center in Tupelo, MS. PAIN MANAGEMENT CENTER OF NORTH NPI is 1811928724. The provider is registered as an organization entity type.
The provider Is Doing Business As Pain Management Center Of N Ms Pllc.

The provider's business location address is:

2089 SOUTHRIDGE DR
TUPELO, MS
ZIP 38801-478
Phone: (662) 407-0801
Fax: (662) 407-0807

The provider's authorized official is George Monroe Hammitt .
The authorized official title is Owner and has the following contact phone number (662) 407-0801.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 1/6/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP3300XClinic/CenterPainYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DC4899OTHERMISSISSIPPIRAILROAD MEDICARE
2C03143MEDICARE PINMISSISSIPPI
307277812MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.