Individual
BILLIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6351 I 55 N, STE 121, JACKSON, MS 39213-7861
(601) 373-1310
(601) 373-6804
Mailing address
2104 RAYMOND RD, SUITE A, JACKSON, MS 39212-2300
(601) 373-1310
(601) 373-6804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0976
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121269
—
MS
Enumeration date
11/17/2006
Last updated
06/15/2021
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