Organization
MISSISSIPPI BRAIN AND SPINE, PLLC
Active
Other names
MS Brain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE HAHN (NCPDP COORDINATOR)
(888) 590-0808
Entity
Organization
Contact information
Practice address
1 LAYFAIR DRIVE, STE 120, FLOWOOD, MS 39232
(888) 590-0808
(866) 740-4689
Mailing address
200 RITTENHOUSE CIRCLE, EAST BUILDING STE 5, BRISTOL, PA 19007
(888) 590-0808
(866) 740-4689
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
15123
MS
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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