BOONEVILLE CHIROPRACTIC CLINIC, P.A.

BOONEVILLE, MS
NPI1154697910
Entity TypeOrganization
Authorized ContactDERRICK ROY BLYTHE
President
662-728-7414
Organization Subpart ?No
Primary Taxonomy261Q00000X 
(Licence: MS  885)
Enumeration Date2012-03-27
Last Update Date2012-03-27
Business Address
BOONEVILLE CHIROPRACTIC CLINIC, P.A.
105B N 2ND ST
BOONEVILLE, MS 38829-3207
Phone number: 662-728-7414
Mailing Address
BOONEVILLE CHIROPRACTIC CLINIC, P.A.
105B N 2ND ST
BOONEVILLE, MS 38829-3207
Phone number: 662-728-7414