| NPI | 1275701781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY TODD JERNIGAN Doctor 228-896-7574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2025-05-20 |