NPI | 1134370828 |
---|---|
Entity Type | Organization |
Authorized Contact | VANCE RAY WARDEN Chiropractor 228-588-0188 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 987) |
Additional Taxonomies | 111N00000X Chiropractor |
207Q00000X Family Medicine | |
Enumeration Date | 2008-10-01 |
Last Update Date | 2022-03-25 |