| NPI | 1992900039 |
|---|---|
| Doing Business As | THE BACK CLINIC OF MISSISSIPPI |
| Entity Type | Organization |
| Authorized Contact | SANDRA IRBY CEO 601-936-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |