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Organization

INSTITUTE FOR SPINAL PAIN TREATMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID L. MCKELLAR MD (CEO/MEDICAL DIRECTOR)
(601) 264-2115
Entity
Organization

Contact information

Practice address
1 LINCOLN PARKWAY, SUITE 106, HATTIESBURG, MS 39402
(601) 264-2115
(601) 264-1519
Mailing address
1 LINCOLN PARKWAY, SUITE 106, HATTIESBURG, MS 39402
(601) 264-2115
(601) 264-1519

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07439015
MS
Enumeration date
12/29/2006
Last updated
01/20/2011
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