Organization
THE PAIN CLINIC OF MISSISSIPPI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE WILLIAMSON M.D. (PRESIDENT)
(601) 899-3989
Entity
Organization
Contact information
Practice address
5903 RIDGEWOOD RD, SUITE 440, JACKSON, MS 39211-3700
(601) 899-3989
(601) 899-3504
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(800) 232-5703
(334) 395-4110
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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