# NORTH MISSISSIPPI SPINE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578785135
- **Authorized official:** MRS. PAMELA L. GREENWAY (ADMINISTRATOR)
- **Authorized official phone:** (662) 563-7728

## Contact information

- **Practice address:** 109 EUREKA ST, SUITE B, BATESVILLE, MS 38606
- **Practice address phone:** (662) 563-7728
- **Practice address fax:** (662) 563-4888
- **Mailing address:** 109 EUREKA ST, SUITE B, BATESVILLE, MS 38606
- **Mailing address phone:** (662) 563-7728
- **Mailing address fax:** (662) 563-4888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | 542011 | MS | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 06/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04584863 | — | MS |