Individual
DR. TYLER LANE QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7651 TCHULAHOMA RD, SOUTHAVEN, MS 38671-9227
(662) 349-0980
(662) 349-0990
Mailing address
7651 TCHULAHOMA RD, SOUTHAVEN, MS 38671-9227
(662) 349-0980
(662) 349-0990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1147
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302I355410
MEDICARE PTAN
MS
Enumeration date
04/27/2009
Last updated
03/19/2025
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