Whalio Doctors

NPI 1013464882

Midsouth Spine and Pain Associates PLLC

Organisation Specialist Corinth, MS

Practice location

Address
3037 Corder Dr, Corinth, MS 38834-6216
Phone
(662) 284-8565
Fax
(662) 594-8366
Mailing address
PO Box 1740, Corinth, MS 38835-1740

Authorised official

Name
Brent a Grimes
Title
Np-C/Partner
Phone
(662) 284-8565

Registered specialties (3)

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 14758 (MS)
Acute Care Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2100X Licence 701122 (MS)
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 16792 (MS)

Registry record

NPI
1013464882
Entity type
Organization
NPI issued
8 Sep 2016
Record last updated
27 Jun 2023

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.