# PRX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRX Healthcare Restoration Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174979199
- **Authorized official:** MR. KENNETH CONWAY (CFO)
- **Authorized official phone:** (601) 543-2849

## Contact information

- **Practice address:** 20 RAWLS SPRINGS LOOP RD, HATTIESBURG, MS 39402-7801
- **Practice address phone:** (601) 582-6069
- **Practice address fax:** (601) 579-4842
- **Mailing address:** 20 RAWLS SPRINGS LOOP RD, HATTIESBURG, MS 39402-7801
- **Mailing address phone:** (601) 582-6069
- **Mailing address fax:** (601) 579-4842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | 21276 | MS | Yes |

## Other

- **Enumeration date:** 05/09/2016
- **Last updated:** 05/17/2016