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

Mississippi Center for Advanced Medicine, PC

Organization Specialist · NPI 1508426917

Mississippi Center for Advanced Medicine, PC is a Specialist in Slidell, Louisiana. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2053 Gause Blvd E Ste 200
Slidell, LA 70461-5451
Phone: (985) 259-8045
Fax: (601) 499-0936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1508426917
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMississippi Center for Advanced Medicine, PC
Authorized official Spencer Sullivan — Ceo/Owner · (601) 499-0935
Other names Louisiana Center For Advanced Medicine
NPI enumeratedJune 18, 2019
Last updated in NPPESJune 18, 2019
Mailing address7731 Old Canton Rd Ste B, Madison, MS 39110-6115

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