# LONG CHIROPRACTIC, P. A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093964124
- **Authorized official:** DR. EDWARD MILES LONG D. C. (PRESIDENT/OWNER)
- **Authorized official phone:** (228) 594-1181

## Contact information

- **Practice address:** 2541 PASS RD, STE H, BILOXI, MS 39531-2106
- **Practice address phone:** (228) 594-1181
- **Practice address fax:** (228) 594-1920
- **Mailing address:** 2541 PASS RD, STE H, BILOXI, MS 39531-2106
- **Mailing address phone:** (228) 594-1181
- **Mailing address fax:** (228) 594-1920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 110 | MS | Yes |

## Other

- **Enumeration date:** 09/12/2008
- **Last updated:** 09/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00115873 | — | MS |