| Ms Pain & Migraine | |
|
4 Willow Pt Hattiesburg MS 39402-1150 | |
| (601) 898-7530 | |
| Not Available |
| Full Name | Ms Pain & Migraine |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4 Willow Pt, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Katie Mcdonnieal (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6014254893 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Pain & Migraine 4 Willow Pt Hattiesburg MS 39402-1150 Ph: () - | Ms Pain & Migraine 4 Willow Pt Hattiesburg MS 39402-1150 Ph: (601) 898-7530 |
| NPI Number | 1689270142 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 04/13/2021 |
| Certification Date | 03/31/2021 |
| Medicare PECOS PAC ID | 5496162026 |
|---|---|
| Medicare Enrollment ID | O20210329000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689270142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Rebecca E Hollingsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609187152 PECOS PAC ID: 7618000431 Enrollment ID: I20100730000659 |
| Provider Name | Alan K Cole |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629264544 PECOS PAC ID: 8628259231 Enrollment ID: I20110301000937 |
| Provider Name | Garrett L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760865216 PECOS PAC ID: 9638485923 Enrollment ID: I20150901002293 |
| Provider Name | Timothy J Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366977068 PECOS PAC ID: 5991073587 Enrollment ID: I20170623000662 |
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