Midsouth Pain Treatment Center
NPI #1518963123 in Southaven, Mississippi
Provider Information
- NPI Number
- 1518963123
- Entity Type
- Organization
- Organization Name
- Midsouth Pain Treatment Center
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 28, 2005
- Last Updated
- Dec 12, 2007
Practice Location
- Address
- 122 AIRWAYS PL
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-5872
- Phone
- (662) 349-9990
Authorized Official
- Name
- MELANIE J CARNAHAN
- Title
- OFFICE MANAGER
- Phone
- (662) 349-9990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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