Organization
NEWSOUTH NEUROSPINE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK S YORK III (CEO)
(877) 554-4257
Entity
Organization
Contact information
Practice address
332 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(877) 554-4257
(601) 983-2850
Mailing address
2470 FLOWOOD DR, FLOWOOD, MS 39232-9019
(877) 554-4257
(601) 983-2845
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
08/03/2010
Last updated
10/28/2010
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