| Headache Specialists | |
|
14231 Seaway Rd, Ste 4001 Gulfport MS 39503-4610 | |
| (205) 223-4359 | |
| Not Available |
| Full Name | Headache Specialists |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14231 Seaway Rd, Ste 4001, Gulfport, Mississippi |
| Authorized Official Name and Position | Paula Warren (OWNER) |
| Authorized Official Contact | 2282138888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headache Specialists 14231 Seaway Rd, Ste 4001 Gulfport MS 39503-4610 Ph: () - | Headache Specialists 14231 Seaway Rd, Ste 4001 Gulfport MS 39503-4610 Ph: (205) 223-4359 |
| NPI Number | 1922724467 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 3971971557 |
|---|---|
| Medicare Enrollment ID | O20221202000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922724467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Paula Province Warren |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932336302 PECOS PAC ID: 2961647375 Enrollment ID: I20180716003276 |
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