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NPI Verification

National Provider Identifier: 1366627606

Back Clinic, LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

1050 N FLOWOOD DR

SUITE A-1

FLOWOOD, MS 392329738

Phone: 601-936-3515

NPI Enumeration Date

January 7, 2008

NPI Number

1366627606

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Back Clinic, LLC - NPI 1366627606 | Provider Verification | HormoneMap