| NPI | 1831435262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACRESHA NICOLE ESSEX Member 601-951-1908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1194) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MS 1198) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2013-04-25 |