Organization
PANOLA PHYSICIAN GROUP, LLC
Active
Other names
Pain Management Center of North Mississippi
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT QUENTIN WHITWELL (CEO)
(662) 701-9346
Entity
Organization
Contact information
Practice address
2089 SOUTHRIDGE DR, TUPELO, MS 38801-6478
(662) 407-0801
Mailing address
303 MEDICAL CENTER DR, BATESVILLE, MS 38606-8608
(662) 563-5611
(662) 563-0155
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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