NPI | 1750454880 |
---|---|
Entity Type | Organization |
Authorized Contact | KELVIE D CULPEPPER Doctor Of Chiropractic 601-795-0211 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1004) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1287) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2020-08-22 |