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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHERN PAIN AND REGENERATIVE MEDICINE PC

Active Organization

SOUTHERN PAIN AND REGENERATIVE MEDICINE PC is a Interventional Vascular Surgery organization located in OLIVE BRANCH, Mississippi. NPI 1841799707 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · OLIVE BRANCH, MS

Registration Details

NPI Number
1841799707
Provider Type
Organization
NPI Issued
Feb 6, 2018 (8.526601285106 yrs)
Last Updated
Jan 12, 2026
License
MD20801 (TN)

Practice Information

Address
8990 GERMANTOWN RD STE B
OLIVE BRANCH, MS, 386548532
Browse MS providers · Browse ZIP 38654
Phone
6627750189
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.