Jackson Anesthesia Pain Center, LLC

NPI #1104166362 in Jackson, Mississippi

Provider Information

NPI Number
1104166362
Entity Type
Organization
Organization Name
Jackson Anesthesia Pain Center, LLC
Primary Specialty
Pain Medicine - Pain Medicine
Enumeration Date
Feb 26, 2013
Last Updated
Feb 26, 2013

Practice Location

Address
1190 N STATE ST
Address 2
SUITE 300
ZIP Code
39202-2413
Phone
(601) 709-0607

Authorized Official

Name
DR. CARROLL M MCLEOD, MD
Title
OWNER
Phone
(601) 709-0607

Specialties & Taxonomy Codes

Specialty
Pain Medicine - Pain MedicinePain Medicine

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