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Organization

NORTH MISSISSIPPI PAIN MANAGEMENT CENTER

Active
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Organization

NORTH MISSISSIPPI PAIN MANAGEMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. H GERALD FLOUHOUSE JR. (ADMINISTRATOR)
(662) 377-7601
Entity
Organization

Contact information

Practice address
4381 SOUTH EASON BLVD, SUITE 203, TUPELO, MS 38801
(662) 377-7354
(662) 377-7492
Mailing address
4381 SOUTH EASON BLVD, SUITE 203, TUPELO, MS 38801
(662) 377-7354
(662) 377-7492

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07226383
—
MS
Enumeration date
05/30/2007
Last updated
08/22/2020
About Stedi
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