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Organization
JACKSON ANESTHESIA PAIN CENTER, LLC
Active
Organization
JACKSON ANESTHESIA PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARROLL M MCLEOD MD (OWNER)
(601) 709-0607
Entity
Organization
Contact information
Practice address
1190 N STATE ST, SUITE 300, JACKSON, MS 39202-2413
(601) 709-0607
(601) 709-2110
Mailing address
1190 N STATE ST, SUITE 300, JACKSON, MS 39202-2413
(601) 709-0607
(601) 709-2110
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
12138
MS
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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