INTERVENTIONAL SPINE & SPORTS INSTITUTE
Organization (NPI-2)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1073746152- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 105 ASBURY CIR STE B, HATTIESBURG, MS, 394021397
- Phone
- (601) 296-2552
- Fax
- (601) 296-2554
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: MS #20628