Organization · Type 2 NPI

Advanced Interventional Specialist PLLC

Neurological Surgery Physician · Madison, MS

NPI number 1194522169 Active

Practice location

160 Fountains Blvd Ste C
Madison, MS 39110-6380

Mailing address

PO Box 266
Ridgeland, MS 39158-0266

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1194522169

Advanced Interventional Specialist PLLC's National Provider Identifier is 1194522169, issued on Feb 27, 2025. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Madison, MS. The record was last updated on Jan 20, 2026.