OrganizationActive
Jackson Anesthesia Pain Center, LLC
NPI 1104166362 · Pain Medicine Physician · Jackson, MS
Provider details
- NPI number
- 1104166362
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Carroll Mcleod, Owner
- License
- 12138 (MS)
Practice location
1190 N State St
Suite 300
Jackson, MS 39202-2413
Phone: (601) 709-0607
Fax: (601) 709-2110
Mailing address
1190 N State St
Jackson, MS 39202-2413
Registry dates
- Enumerated
- 2013-02-26
- Last updated
- 2013-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.