Organization
ADVANCED INTERVENTIONAL SPECIALIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN NAMANNY (COO)
(769) 229-3758
Entity
Organization
Contact information
Practice address
160 FOUNTAINS BLVD STE C, MADISON, MS 39110-6380
(769) 229-3758
Mailing address
PO BOX 266, RIDGELAND, MS 39158-0266
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
01/20/2026
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