| NPI | 1467952010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER TANNER MCLENDON Office Manager 601-932-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1204) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |