| NPI | 1720473986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MORRIS Chiropractic Physician 662-470-4615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MS 1234) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-05-11 |