| NPI | 1366627606 |
|---|---|
| Doing Business As | BACK CLINIC OF MISSISSIPPI |
| Entity Type | Organization |
| Authorized Contact | LISA A. CROSS Co Owner 601-936-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |