| Spine Medical Center,llc | |
|
9344 Three Rivers Rd Gulfport MS 39503-4268 | |
| (228) 865-4731 | |
| (228) 863-5616 |
| Full Name | Spine Medical Center,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9344 Three Rivers Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Joel Berman Burwell (DR.) |
| Authorized Official Contact | 2288654731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spine Medical Center,llc Po Box 2156 Gulfport MS 39505-2156 Ph: (228) 865-4731 | Spine Medical Center,llc 9344 Three Rivers Rd Gulfport MS 39503-4268 Ph: (228) 865-4731 |
| NPI Number | 1720207749 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720207749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12692 (Mississippi) | Primary |
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