Organization
INTERVENTIONAL SPINE & SPORTS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN S. TRUSSELL M.D. (OWNER)
(601) 296-2552
Entity
Organization
Contact information
Practice address
105 ASBURY CIR STE B, HATTIESBURG, MS 39402-1397
(601) 296-2552
(601) 296-2554
Mailing address
PO BOX 17708, HATTIESBURG, MS 39404-7708
(601) 296-2552
(601) 296-2552
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20628
MS
Other
Enumeration date
08/24/2009
Last updated
06/30/2010
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