| NPI | 1194197376 |
|---|---|
| Doing Business As | C/E MED BACK INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | REGINALD LAMAR RODGES CEO 662-843-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |