Ms Pmr & Pmc, Pllc
NPI #1619178100 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1619178100
- Entity Type
- Organization
- Organization Name
- Ms Pmr & Pmc, Pllc
- Primary Specialty
- Physical Medicine & Rehabilitation - Pain Medicine
- Enumeration Date
- May 30, 2007
- Last Updated
- Jul 21, 2008
Practice Location
- Address
- 144 S THOMAS ST
- Address 2
- BUILDING 1, SUITE 101-2
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-5312
- Phone
- (662) 841-8830
Authorized Official
- Name
- BRUCE EDWARD PORTER, MD
- Title
- MANAGING MEMBER
- Phone
- (662) 841-8830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
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