Organization
NORTH MISSISSIPPI SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA L. GREENWAY (ADMINISTRATOR)
(662) 563-7728
Entity
Organization
Contact information
Practice address
109 EUREKA ST, SUITE B, BATESVILLE, MS 38606
(662) 563-7728
(662) 563-4888
Mailing address
109 EUREKA ST, SUITE B, BATESVILLE, MS 38606
(662) 563-7728
(662) 563-4888
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
542011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04584863
—
MS
Enumeration date
05/03/2007
Last updated
06/26/2008
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