NPI 1104166362

Jackson Anesthesia Pain Center, LLC

Organisation Pain Medicine Physician Jackson, MS

Practice location

Address: 1190 N State St Suite 300, Jackson, MS 39202-2413
Phone: (601) 709-0607
Fax: (601) 709-2110

Authorised official

Name: Carroll M McLeod
Title: Owner
Phone: (601) 709-0607

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 12138 (MS)

Other Pain Medicine providers in Mississippi →

Registry record

NPI: 1104166362
Entity type: Organization
NPI issued: 26 Feb 2013
Record last updated: 26 Feb 2013

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.