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

Spine Medical Center, LLC

Organization Family Medicine Physician · NPI 1720207749

Spine Medical Center, LLC is a Family Medicine Physician in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9344 Three Rivers Rd
Gulfport, MS 39503-4268
Phone: (228) 865-4731
Fax: (228) 863-5616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12692 (MS)

Record details

NPI number1720207749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Burwell — Dr. · (228) 865-4731
NPI enumeratedApril 25, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 2156, Gulfport, MS 39505-2156

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