NPI 1093982068
Southern Pain Center, LLC
Practice location
- Address
- 235 Saint Ann Dr STE 2, Mandeville, LA 70471-3396
- Phone
- (985) 727-7275
- Fax
- (985) 727-7915
Authorised official
- Name
- Mark S Dennis
- Title
- Owner
- Phone
- (985) 727-7275
Registered specialties (2)
Interventional Pain Medicine Physician
Primary
Pain Medicine (Anesthesiology) Physician
Registry record
- NPI
- 1093982068
- Entity type
- Organization
- NPI issued
- 9 May 2008
- Record last updated
- 30 Sep 2008
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.