Organization
PAUSE PAIN AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT P GAMMONS (DIRECTOR)
(321) 286-7916
Entity
Organization
Contact information
Practice address
101 RICKY BRITT SR BLVD., SUITE 2, OXFORD, MS 38655
(866) 212-0685
Mailing address
101 RICKY D BRITT SR BLVD STE 1A, OXFORD, MS 38655-9111
(833) 940-5060
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1330513
BUSINESS ID
MS
Enumeration date
06/02/2022
Last updated
12/06/2024
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