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NPI Code Detail

MEDICARE: PAIN MANAGEMENT CENTER OF NORTH

MEDICARE: PAIN MANAGEMENT CENTER OF NORTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP3300XPain Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC4899OTHERMSRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811928724
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAIN MANAGEMENT CENTER OF NORTH
Provider Business Mailing Address
First Line : PO BOX 11407
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35246-1218
Country : US
Telephone Number : 800-897-6169
Fax Number : 800-897-6170
Provider Business Practice Location Address
First Line : 2089 SOUTHRIDGE DR
Second Line :
City : TUPELO
State : MS
Zip : 38801-6478
Country : US
Telephone Number : 662-407-0801
Fax Number : 662-407-0807
Authorized Official
Title or Position : OWNER
Name : DR. GEORGE MONROE HAMMITT III
Credential : M.D.
Telephone Number : 662-407-0801
Provider Enumeration Date : 07/06/2006
Last Update Date : 01/06/2010

Similar Medicare Providers

1578560538 — DR. GEORGE MONROE HAMMITT III M.D.
Practice Location Address:
2089 SOUTHRIDGE DR
TUPELO, MS
38801-6478
Practice Phone: 662-407-0801
Practice Fax: 662-407-0807
1548418320 — COMPREHENSIVE PAIN MANAGEMENT LLC
Practice Location Address:
2089 SOUTH RIDGE DR.
TUPELO, MS
38801-6478
Practice Phone: 662-407-0801
Practice Fax: 662-407-0807
1255584173 — MRS. RITA TESTA RAGAN FNP-BC
Practice Location Address:
2089 SOUTHRIDGE DR
TUPELO, MS
38801-6478
Practice Phone: 662-407-0801
Practice Fax: 662-821-0422
1861639015 — MS. KATHERINE B THOMAS FNP, BC
Practice Location Address:
2089 SOUTHRIDGE DR
TUPELO, MS
38801-6478
Practice Phone: 662-407-0801
Practice Fax: 662-328-3390
1083858229 — JENNIFER L RODABOUGH PT
Practice Location Address:
2089 SOUTHRIDGE DR
TUPELO, MS
38801-6478
Practice Phone: 662-407-0801
Practice Fax: 662-407-0807
1871892570 — HOLLY J KENDRICK NP
Practice Location Address:
2089 SOUTHRIDGE DR
TUPELO, MS
38801-6478
Practice Phone: 662-407-0801
Practice Fax: 662-407-0807

Directions to “PAIN MANAGEMENT CENTER OF NORTH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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