NPI 1790265627

Mississippi Brain and Spine, PLLC

Organisation Non-Pharmacy Dispensing Site Flowood, MS

Practice location

Address: 1 Layfair Drive STE 120, Flowood, MS 39232
Phone: (888) 590-0808
Fax: (866) 740-4689
Mailing address: 200 Rittenhouse Circle East Building STE 5, Bristol, PA 19007

Authorised official

Name: Mackenzie Hahn
Title: Ncpdp Coordinator
Phone: (888) 590-0808

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 15123 (MS)

Other Non-Pharmacy Dispensing Site providers in Mississippi →

Registry record

NPI: 1790265627
Entity type: Organization
NPI issued: 20 Aug 2018
Record last updated: 20 Aug 2018

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.