| Prx Healthcare Restoration Centers | |
|
20 Rawls Springs Loop Rd Hattiesburg MS 39402-7801 | |
| (601) 582-6069 | |
| (601) 579-4842 |
| Full Name | Prx Healthcare Restoration Centers |
|---|---|
| Speciality | Psychiatry & Neurology - Pain Medicine |
| Location | 20 Rawls Springs Loop Rd, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Kenneth Conway (CFO) |
| Authorized Official Contact | 6015432849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prx Healthcare Restoration Centers 20 Rawls Springs Loop Rd Hattiesburg MS 39402-7801 Ph: (601) 582-6069 | Prx Healthcare Restoration Centers 20 Rawls Springs Loop Rd Hattiesburg MS 39402-7801 Ph: (601) 582-6069 |
| NPI Number | 1174979199 |
|---|---|
| Provider Enumeration Date | 05/09/2016 |
| Last Update Date | 05/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174979199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | 21276 (Mississippi) | Primary |
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