Organization
NEW HAVEN CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY JEFFERSON B.A.,D.C. (CHIROPRACTOR)
(662) 392-1608
Entity
Organization
Contact information
Practice address
1707 STRONG AVE, SUITE A, GREENWOOD, MS 38930-3923
(662) 453-2250
(662) 453-2280
Mailing address
PO BOX 1661, GREENWOOD, MS 38935-1661
(662) 453-2250
(662) 453-2280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1146
MS
Other
Enumeration date
09/21/2010
Last updated
09/14/2011
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