| NPI | 1508850256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ROYSE BLACKMON President 501-663-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 1383) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-08-22 |