Organization
CLARK CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD H CLARK DC (CHIROPRACTOR PRESIDENT)
(601) 482-0716
Entity
Organization
Contact information
Practice address
4917 POPLAR SPRINGS DRIVE, MERIDIAN, MS 39305
(601) 482-0716
(601) 482-0726
Mailing address
4917 POPLAR SPRINGS DRIVE, MERIDIAN, MS 39305
(601) 482-0716
(601) 482-0726
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
711
MS
Other
Enumeration date
04/04/2007
Last updated
02/06/2008
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