Individual
MR. JACK CHARLES MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1222 LINN STREET, SIKESTON, MO 63801
(573) 471-4652
(573) 471-4799
Mailing address
1222 LINN STREET, SIKESTON, MD 63801
(573) 471-4652
(573) 471-4799
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4244
MO
Other
Enumeration date
02/05/2007
Last updated
01/15/2008
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