Individual
DR. SHANE MARTIN HINCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
150 MARION AVE, MCCOMB, MS 39648-3620
(601) 684-9200
Mailing address
150 MARION AVE, MCCOMB, MS 39648-3620
(601) 684-9200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
640923144
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125195
—
MS
Enumeration date
02/05/2007
Last updated
03/12/2008
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