Organization
MS PAIN & MIGRAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORY SCOTT (OWNER)
(601) 270-4313
Entity
Organization
Contact information
Practice address
3495 COBBLESTONE BLVD, SOUTHAVEN, MS 38672
(601) 582-6069
Mailing address
4 WILLOW PT STE 1, HATTIESBURG, MS 39402-1150
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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