Organization
SOUTHERN REGIONAL CHIROPRACTIC AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN LEE KEENUM (OWNER)
(228) 860-5027
Entity
Organization
Contact information
Practice address
11505 CINEMA DR STE 7, DIBERVILLE, MS 39540
(228) 365-0449
(228) 365-2314
Mailing address
11505 CINEMA DR STE 7, DIBERVILLE, MS 39540-9703
(228) 365-0449
(228) 365-2314
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1221
MS
363L00000X
Nurse Practitioner
901566
MS
Other
Enumeration date
12/26/2017
Last updated
07/10/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us