| NPI | 1902176373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY VICTORIA LONG Doctor Of Chiropractic 662-721-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1184) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |