Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mississippi Center for Advanced Medicine, PC

Organization Specialist · NPI 1508426917

Mississippi Center for Advanced Medicine, PC provides Specialist services in Slidell, Louisiana. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2053 Gause Blvd E Ste 200
Slidell, LA 70461-5451
Phone: (985) 259-8045
Fax: (601) 499-0936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1508426917
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMississippi Center for Advanced Medicine, PC
Authorized official Spencer Sullivan — Ceo/Owner · (601) 499-0935
Other names Louisiana Center For Advanced Medicine
NPI enumeratedJune 18, 2019
Last updated in NPPESJune 18, 2019
Mailing address7731 Old Canton Rd Ste B, Madison, MS 39110-6115

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