NPI 1003629767
Pain Treatment Centers of America, PLLC
Practice location
- Address
- 7620 Clarington Cv STE B, Southaven, MS 38671-5648
- Phone
- (844) 215-0731
- Fax
- (210) 526-3087
- Mailing address
- 108 N Shackleford Rd, Little Rock, AR 72211-2840
Authorised official
- Name
- Lisa Kent
- Title
- Credentialing Director
- Phone
- (501) 900-8770
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1003629767
- Entity type
- Organization
- NPI issued
- 28 Jan 2025
- Record last updated
- 28 Jan 2025
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.