Organization
BROOKHAVEN ANESTHESIA & PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN D NATIONS MD (OWNER)
(660) 826-5960
Entity
Organization
Contact information
Practice address
1024 D A BIGLANE DR, BROOKHAVEN, MS 39601-2331
(660) 826-5960
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF0416
RR MEDICARE
MS
Enumeration date
12/12/2005
Last updated
02/25/2020
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