Mississippi Pain Physicians, Pllc

LBN: Mississippi Pain Physicians, Pllc
Mississippi Pain Physicians, Pllc is an health care organization with primary practice located at 1001 14Th St , Meridian MS 39301-4458. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Mississippi Pain Physicians, Pllc can be contacted via phone (601) 482-9224, or through Staggs, Kenneth via phone (601) 482-9224.

Contact Information

Primary practice address
1001 14Th St Meridian MS 39301-4458
Phone: (601) 482-9224
Fax: (601) 482-9223
Website:
Map and Directions
Authorized official contact:
Name: Staggs, Kenneth Doctor of Medicine (MD)
Phone: (601) 482-9224

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1548254493
LBN Legal business name Mississippi Pain Physicians, Pllc
DBA Doing business as
Authorized official Staggs, Kenneth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2005
Last updated Oct 15th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548254493 NPPES
Mississippi MEDICAID 09015976
Mississippi Other CA7626

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