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NPI 1992900039 · live from the CMS NPI Registry

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Family Medicine in Flowood, MS. National Provider Identifier 1992900039, active.

NPI record

NPI1992900039 Type 2 · organization
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location1050 N Flowood Dr, Suite A-1, Flowood, MS 39232
Practice phone601-936-3515
EnumeratedJune 19, 2007
Last updatedAugust 22, 2020
Authorized officialSandra Irby, Ceo
Other namesThe Back Clinic Of Mississippi

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine primary207Q00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.