NPI 1033271416

Gulf States Physical Medicine & Rehabilitation

Organisation Pain Medicine (Physical Medicine & Rehabilitation) Physician Jackson, MS

Practice location

Address: 1190 N State St Suite 202, Jackson, MS 39202-2413
Phone: (601) 968-0894
Fax: (601) 968-0896

Authorised official

Name: Amy Grissett
Title: Manager
Phone: (601) 944-1717

Registered specialties

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X

Other Physical Medicine & Rehabilitation providers in Mississippi →

Registry record

NPI: 1033271416
Entity type: Organization
NPI issued: 14 Dec 2006
Record last updated: 13 Jan 2015

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.