NPI | 1346318797 |
---|---|
Doing Business As | MIDSOUTH INTEGRATIVE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | TREVOR LAMAR QUALLS Chiropractor 662-349-0980 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1100) |
Enumeration Date | 2006-12-02 |
Last Update Date | 2025-03-19 |