| NPI | 1215108162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REJINA D BOSARGE Owner / Office Manager 228-475-6437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 0867) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |