NPI | 1023336203 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN NEELY BERRY Chiropractor/ Owner 662-843-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1153) |
Enumeration Date | 2010-05-12 |
Last Update Date | 2010-05-12 |