Organization
MAYFIELD-BACON AUTO ACCIDENT & INJURY CLINIC LLC
Active
Other names
Mayfield Chiropractic Shreveport
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J MAYFIELD DC (OWNER)
(318) 828-1517
Entity
Organization
Contact information
Practice address
2219 LINE AVE, SHREVEPORT, LA 71104-2128
(318) 855-1517
(318) 828-1685
Mailing address
2219 LINE AVE, SHREVEPORT, LA 71104-2128
(318) 828-1517
(318) 855-1685
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1067
LA
Other
Enumeration date
12/02/2010
Last updated
02/15/2025
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