Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spine Medical Center, LLC

Organization Family Medicine Physician · NPI 1720207749

Spine Medical Center, LLC provides Family Medicine Physician services in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9344 Three Rivers Rd
Gulfport, MS 39503-4268
Phone: (228) 865-4731
Fax: (228) 863-5616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12692 (MS)

Record details

NPI number1720207749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Burwell — Dr. · (228) 865-4731
NPI enumeratedApril 25, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 2156, Gulfport, MS 39505-2156

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