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Organization

MISSISSIPPI PAIN MANAGEMENT, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN B ADAMS DO (PRESIDENT)
(601) 566-1375
Entity
Organization

Contact information

Practice address
1080 RIVER OAKS DR STE B103, FLOWOOD, MS 39232-7602
(601) 566-1375
Mailing address
103 LANGDON BND, MADISON, MS 39110-7079
(769) 232-0287

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
261QP3300X
Pain Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00120868
MS
Enumeration date
08/10/2020
Last updated
08/10/2020
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