| NPI | 1750882080 |
|---|---|
| Doing Business As | FUNCTIONAL AND INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRYAN N BATSON Executive Director 601-264-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2021-02-22 |