| NPI | 1063878676 |
|---|---|
| Doing Business As | WAYNE GENERAL PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATHY WADDELL CEO 601-735-7100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-02-29 |