Organization
JACKSON PAIN CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EDWIN DODD MD (PRESIDENT)
(601) 355-7246
Entity
Organization
Contact information
Practice address
1151 N STATE ST, SUITE 311, JACKSON, MS 39202-2407
(601) 355-7246
(601) 969-1173
Mailing address
1151 N STATE ST, SUITE 311, JACKSON, MS 39202-2407
(601) 355-7246
(601) 969-1173
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
10764
MS
Other
Enumeration date
01/02/2014
Last updated
07/21/2014
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