Organization
LONG CHIROPRACTIC, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD MILES LONG D. C. (PRESIDENT/OWNER)
(228) 594-1181
Entity
Organization
Contact information
Practice address
2541 PASS RD, STE H, BILOXI, MS 39531-2106
(228) 594-1181
(228) 594-1920
Mailing address
2541 PASS RD, STE H, BILOXI, MS 39531-2106
(228) 594-1181
(228) 594-1920
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
110
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115873
—
MS
Enumeration date
09/12/2008
Last updated
09/12/2008
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