OrganizationActive
Comprehensive Pain Center for Surgery
NPI 1487094058 · Ambulatory Surgical Clinic/Center · Madison, MS
Provider details
- NPI number
- 1487094058
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Leonel Vance, Medical Director
Practice location
129 Fountains Blvd.
Madison, MS 39110
Phone: (769) 300-0720
Fax: (769) 300-0721
Mailing address
129 Fountains Blvd
Madison, MS 39110
Registry dates
- Enumerated
- 2013-06-27
- Last updated
- 2025-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.