NPI | 1790565521 |
---|---|
Doing Business As | NORTH MISSISSIPPI REGIONAL PAIN CONSULTANTS-SOUTHRIDGE |
Entity Type | Organization |
Authorized Contact | BRUCE TOPPIN Corporate Secretary 662-377-4229 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
Enumeration Date | 2023-09-29 |
Last Update Date | 2023-09-29 |