Organization
SOUTHERN PAIN AND REGENERATIVE MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HODGKISS MD (OWNER)
(901) 350-0678
Entity
Organization
Contact information
Practice address
8990 GERMANTOWN RD STE B, OLIVE BRANCH, MS 38654-8532
(662) 775-0189
Mailing address
8990 GERMANTOWN RD STE B, OLIVE BRANCH, MS 38654-8532
(901) 350-0678
(901) 350-0677
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
MD20801
TN
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/06/2018
Last updated
01/12/2026
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