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Organization
ADVANCED DIAGNOSTIC PAIN CENTER, PLLC
Active
Organization
ADVANCED DIAGNOSTIC PAIN CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL D HARRIS M.D. (OWNER)
(601) 899-3990
Entity
Organization
Contact information
Practice address
5903 RIDGEWOOD RD, 440, JACKSON, MS 39211-3700
(601) 899-3990
(601) 899-3920
Mailing address
5903 RIDGEWOOD RD, 440, JACKSON, MS 39211-3700
(601) 899-3990
(601) 899-3920
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
19739
MS
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
19739
MS
Other
Enumeration date
06/08/2007
Last updated
09/11/2025
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