Gulf States Physical Medicine & Rehabilitation
NPI #1033271416 in Jackson, Mississippi
Provider Information
- NPI Number
- 1033271416
- Entity Type
- Organization
- Organization Name
- Gulf States Physical Medicine & Rehabilitation
- Primary Specialty
- Physical Medicine & Rehabilitation - Pain Medicine
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Jan 13, 2015
Practice Location
- Address
- 1190 N STATE ST
- Address 2
- SUITE 202
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39202-2413
- Phone
- (601) 968-0894
Authorized Official
- Name
- AMY GRISSETT
- Title
- MANAGER
- Phone
- (601) 944-1717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
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