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General NPI Number Information
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NPI Number | 1770743031
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Entity Type | Organization
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Legal Business Name | NEWSOUTH NEUROSPINE, LLC
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 2470 FLOWOOD DR
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City | FLOWOOD
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State | MS
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Zip | 39232-9019
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Country | US
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Telephone | 877-554-4257
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Fax | 601-983-2845
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Provider Business Mailing Address
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Address Line | 2470 FLOWOOD DR
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City | JACKSON
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State | MS
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Zip | 39232-9019
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Country | US
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Telephone | 877-554-4257
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Fax | 601-983-2845
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Authorized Official
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Title or Position | CEO
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Name | BRYAN NELMS
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Credential |
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Telephone | 601-983-2865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State | MS
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