Interventional Spine & Sports Institute
Interventional Spine & Sports Institute is a Physical Medicine & Rehabilitation Physician in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.
- Licensed in
- MS
- In the registry since
- 2009
Practice location Address checks out
105 Asbury Cir Ste BHattiesburg, MS 39402-1397
Phone: (601) 296-2552
Fax: (601) 296-2554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 20628 (MS) |
|---|
Record details
| NPI number | 1073746152 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brian Trussell — Owner · (601) 296-2552 |
| NPI enumerated | August 24, 2009 |
| Last updated in NPPES | June 30, 2010 |
| Mailing address | Po Box 17708, Hattiesburg, MS 39404-7708 |
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