NPI 1013464882
Midsouth Spine and Pain Associates PLLC
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
Acute Care Nurse Practitioner
Family Nurse Practitioner
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.