Advanced Pain Therapy, PLLC
Anesthesiology, Pain Medicine in Hattiesburg, MS. Organization (NPI-2).
NPI number1720160104
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720160104
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Pain Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | 17817 | MS | Yes |
Practice location
301 S 28th AveHattiesburg, MS 39401-7233
Phone 601-288-7230 · Fax 601-288-7234
Mailing address
301 S 28th AveHattiesburg, MS 39401-7233
Phone 601-288-7230 · Fax 601-288-7234
Authorized official
Bretley Todd Sitzman
Medical Director
6012887230
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