| NPI | 1366627630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA DUNCAN Medical Biller 601-878-6945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00504900) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2014-01-29 |