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Organization

TRINITY PAIN CONSULTANTS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REX WILLIAMS MD (MEMBER)
(601) 420-2040
Entity
Organization

Contact information

Practice address
120 STONE CREEK BLVD, SUITE 500, FLOWOOD, MS 39232-8205
(601) 420-2040
(601) 420-3683
Mailing address
PO BOX 320759, FLOWOOD, MS 39232-0759
(601) 420-2040
(601) 420-3683

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05337
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25D1042667
CLIA
MS
Enumeration date
01/19/2012
Last updated
05/30/2012
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