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SOPHRONIA STIDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
214 CALDWELL DR, HAZLEHURST, MS 39083-2712
(601) 884-0557
(601) 623-9311
Mailing address
1001 SANDIFER ST, HAZLEHURST, MS 39083-8960

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1212
MS

Other

Enumeration date
07/26/2013
Last updated
12/06/2017
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