Individual
MATTHEW L POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
826 HWY 90, BAY ST LOUIS, MS 39520-2701
(228) 467-1018
(228) 467-4608
Mailing address
826 HWY 90, BAY ST LOUIS, MS 39520-2701
(228) 467-1018
(228) 467-4608
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1158
MS
Other
Enumeration date
01/29/2010
Last updated
06/22/2010
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