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 |
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Provider Enumeration Date | 10/17/2022 |
Last Update Date | 03/21/2023 |
Certification Date | 03/15/2023 |
Medicare PECOS PAC ID | 3971971557 |
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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 |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1932336302 PECOS PAC ID: 2961647375 Enrollment ID: I20180716003276 |
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