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
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 MedicinePain Medicine

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