Organization
NEUROMODULATION SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L YEARWOOD MD (OWNER)
(228) 627-5192
Entity
Organization
Contact information
Practice address
4105 HOSPITAL ST # 112C, PASCAGOULA, MS 39581-5312
(228) 627-5192
Mailing address
PO BOX 1078, PASCAGOULA, MS 39568-1078
(228) 627-5192
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
11988
MS
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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