Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laurel Pain Clinic PA

Organization Interventional Pain Medicine Physician · NPI 1811098874

Laurel Pain Clinic PA is an Interventional Pain Medicine Physician in Laurel, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1706 W 12th St
Laurel, MS 39440-2559
Phone: (601) 369-2021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 16318 (MS)

Record details

NPI number1811098874
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Buie — Billing Supervisor · (601) 898-7530
NPI enumeratedSeptember 25, 2006
Last updated in NPPESNovember 6, 2012
Mailing address1706 W 12th St, Laurel, MS 39440-2559