Natural Pain Back Institute, Llc | |
506 3rd St, Cleveland, MS 38732-2362 | |
(622) 843-0076 | |
(622) 846-7730 |
Full Name | Natural Pain Back Institute, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 506 3rd St, Cleveland, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144503673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0950 (Mississippi) | Primary |
Provider Name | Evelyn Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679891964 PECOS PAC ID: 2567412653 Enrollment ID: I20050126000803 |
Provider Name | Reginald L Rodges |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699865501 PECOS PAC ID: 2961567938 Enrollment ID: I20090209000330 |
Mailing Address | Practice Location Address |
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Natural Pain Back Institute, Llc 506 3rd St, Cleveland, MS 38732-2362 Ph: (622) 843-0076 | Natural Pain Back Institute, Llc 506 3rd St, Cleveland, MS 38732-2362 Ph: (622) 843-0076 |
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