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Organization

METHODIST PAIN MANAGEMENT, LLC

Active
Other names
Pain Management Center, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
GARY ARMSTRONG (EXECUTIVE VICE PRESIDENT OF FINANCE)
(601) 981-2611
Entity
Organization

Contact information

Practice address
ONE LAYFAIR DR, SUITE 400, JACKSON, MS 39232
(601) 932-0238
(601) 932-4391
Mailing address
ONE LAYFAIR DR, SUITE 400, JACKSON, MS 39232
(601) 932-0238
(601) 932-4391

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0770243
MS
Enumeration date
10/03/2006
Last updated
12/03/2008
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