| NPI | 1205958832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD H CLARK Chiropractor President 601-482-0716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 711) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-02-06 |