The Pain Clinic of Mississippi, Pllc
NPI #1063786036 in Jackson, Mississippi
Provider Information
- NPI Number
- 1063786036
- Entity Type
- Organization
- Organization Name
- The Pain Clinic of Mississippi, Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 8, 2012
- Last Updated
- Mar 8, 2012
Practice Location
- Address
- 5903 RIDGEWOOD RD
- Address 2
- SUITE 440
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39211-3700
- Phone
- (601) 899-3989
Authorized Official
- Name
- DR. DUANE WILLIAMSON, M.D.
- Title
- PRESIDENT
- Phone
- (601) 899-3989
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Pain Medicine — Pain Medicine |
| Nurse Practitioner - Family — Family |
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