NPI 1003092818

Neshoba Family Medical Clinic

Organisation Pain Medicine Physician Philadelphia, MS

Practice location

Address: 921 W Beacon St, Philadelphia, MS 39350-3229
Phone: (601) 656-6116
Fax: (601) 656-5445

Authorised official

Name: Mike Weeks
Title: Cfo
Phone: (601) 663-1367

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 16407 (MS)

Other Pain Medicine providers in Mississippi →

Registry record

NPI: 1003092818
Entity type: Organization
NPI issued: 11 Jan 2008
Record last updated: 11 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.