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Organization
MISSISSIPPI BRAIN AND SPINE, PLLC
Active
Organization
MISSISSIPPI BRAIN AND SPINE, PLLC
Active
Other names
MS Brain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE HAHN (NCPDP COORDINATOR)
(888) 590-0808
Entity
Organization
Contact information
Practice address
1 LAYFAIR DRIVE, STE 120, FLOWOOD, MS 39232
(888) 590-0808
(866) 740-4689
Mailing address
200 RITTENHOUSE CIRCLE, EAST BUILDING STE 5, BRISTOL, PA 19007
(888) 590-0808
(866) 740-4689
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
15123
MS
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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