Organization
BACK CLINIC, LLC
Active
Other names
Back Clinic of Mississippi
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA A. CROSS (CO-OWNER)
(601) 936-3515
Entity
Organization
Contact information
Practice address
1050 N FLOWOOD DR, SUITE A-1, FLOWOOD, MS 39232-9738
(601) 936-3515
(601) 936-0705
Mailing address
1050 N FLOWOOD DR, SUITE A-1, FLOWOOD, MS 39232-9738
(601) 936-3515
(601) 936-0705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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