| NPI | 1346468980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE VERNON MORTON Director 662-429-6102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 122) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038004179) |
| 111N00000X Chiropractor (Licence: MS 1094) | |
| 111N00000X Chiropractor (Licence: IL 038010451) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-08-18 |