NPI 1073746152

Interventional Spine & Sports Institute

Organisation Physical Medicine & Rehabilitation Physician Hattiesburg, MS

Practice location

Address: 105 Asbury Cir STE B, Hattiesburg, MS 39402-1397
Phone: (601) 296-2552
Fax: (601) 296-2554
Mailing address: PO Box 17708, Hattiesburg, MS 39404-7708

Authorised official

Name: Brian S. Trussell
Title: Owner
Phone: (601) 296-2552

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 20628 (MS)

Other Physical Medicine & Rehabilitation providers in Mississippi →

Registry record

NPI: 1073746152
Entity type: Organization
NPI issued: 24 Aug 2009
Record last updated: 30 Jun 2010

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.