Laurel Pain Clinic Pa in Laurel - Interventional Pain Medicine

Laurel Pain Clinic Pa - NPI 1811098874

Laurel Pain Clinic Pa is a Interventional Pain Medicine in Laurel, Mississippi. Laurel Pain Clinic Pa practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Laurel Pain Clinic Pa is 1811098874. The last update date is 2012-11-06.

Laurel Pain Clinic Pa's current location address is 1706 W 12th St, Laurel, Mississippi. You can contact this provider via phone number 6013692021. The mailing address for Laurel Pain Clinic Pa is 1706 W 12th St, Laurel, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Laurel Pain Clinic Pa
Address 1706 W 12th St, Laurel, Mississippi
Phone Number 6013692021
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING SU
Authorized Official Name Buie N Ashley
Telephone Number 6018987530

NPI Number Detail

NPI Number 1811098874
Provider Enumeration Date 2006-09-25
Last Updated Date 2012-11-06

Provider Mailing Address Detail

Address 1706 W 12th St
City Laurel
State Mississippi (MS)
Post Code 394402559
Phone Number 6013692021
Fax Number

Provider's Primary Taxonomy Detail

Speciality Interventional Pain Medicine
Taxonomy 208Vp0014X
Licence No 16318
Definition:
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9987586 MS --
DF1770 MS RAILROAD MEDICARE

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FAQs about Laurel Pain Clinic Pa

What is the Laurel Pain Clinic Pa's unique identification number?

The Laurel Pain Clinic Pa has been assigned the NPI (National Provider Identifier) Number 1811098874 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Laurel Pain Clinic Pa?

The Laurel Pain Clinic Pa is physically situated at 1706 W 12Th St, in the city of Laurel, state of MS, with the postal code 394402559.

What is Laurel Pain Clinic Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Laurel Pain Clinic Pa is Interventional Pain Medicine, and the taxonomy code that classifies this field of practice is 208Vp0014X.

On what date was the 1811098874 assigned to Laurel Pain Clinic Pa?

The Laurel Pain Clinic Pa was issued its 1811098874 on 2006-09-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Laurel Pain Clinic Pa most recently updated?

The details pertaining to the Laurel Pain Clinic Pa, including its address, specialty, and other relevant information, were last refreshed on 2012-11-06.

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