| NPI | 1255693602 |
|---|---|
| Doing Business As | BACK & NECK PAIN CLINIC DR L C HUDDLESTON |
| Entity Type | Organization |
| Authorized Contact | LEO C HUDDLESTON Owner 601-953-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MS 624) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-13 |