| NPI | 1770743031 |
|---|---|
| Other Name | NEWSOUTH NEUROSPINE PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | AMANDA TAVARES Credentialing Coordinator 601-983-2859 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2024-07-24 |