Provider Demographics
NPI:1548418320
Name:COMPREHENSIVE PAIN MANAGEMENT LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE PAIN MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAMMITT
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:662-407-0801
Mailing Address - Street 1:2089 SOUTH RIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-6478
Mailing Address - Country:US
Mailing Address - Phone:662-407-0801
Mailing Address - Fax:662-407-0807
Practice Address - Street 1:2089 SOUTH RIDGE DR.
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-6478
Practice Address - Country:US
Practice Address - Phone:662-407-0801
Practice Address - Fax:662-407-0807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical