Organization
PAIN CONSULTANTS OF SOUTH MISSISSIPPI PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L MCKELLAR MD (CEO/MEDICAL DIRECTOR)
(601) 268-8698
Entity
Organization
Contact information
Practice address
106 ASBURY CIR, HATTIESBURG, MS 39402-1302
(601) 268-8698
(601) 296-3049
Mailing address
106 ASBURY CIRCLE, HATTIESBURG, MS 39402-0000
(601) 268-8698
(601) 296-3049
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014912
—
MS
Enumeration date
05/19/2006
Last updated
03/27/2014
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