Pain Treatment Center

NPI #1174689533 in Hattiesburg, Mississippi

Provider Information

NPI Number
1174689533
Entity Type
Organization
Organization Name
Pain Treatment Center
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Dec 29, 2006
Last Updated
Jan 20, 2011

Practice Location

Address
106 ASBURY CIR
ZIP Code
39402-1302
Phone
(601) 268-8698

Authorized Official

Name
DR. DAVID L MCKELLAR, MD
Title
CEO/MEDICAL DIRECTOR
Phone
(601) 268-8698

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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