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Organization
CHIROPRACTIC LIFE CENTER LLC
Active
Organization
CHIROPRACTIC LIFE CENTER LLC
Active
Other names
Dr, James B Culveyhouse SR DC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B CULVEYHOUSE SR. D.C (OWNER)
(228) 864-6159
Entity
Organization
Contact information
Practice address
1900 PASS RD, STE D, GULFPORT, MS 39501-5100
(228) 864-6159
(228) 864-3186
Mailing address
1900 PASS RD, STE D, GULFPORT, MS 39501-5100
(228) 864-6159
(228) 864-3186
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0356
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119478
—
MS
Enumeration date
06/12/2013
Last updated
06/13/2013
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